Organization Active NPI

Restoration Psychiatry

  • Psychiatry Physician
  • Los Gatos, CA
National Provider Identifier
1972077907
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RESTORATION PSYCHIATRY
Practice address
15899 Los Gatos Almaden Rd Ste 3
Los Gatos, CA 95032-3739
Phone
(408) 560-9985
Fax
(408) 731-9115
NPI assigned
Jan 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy C. Saah, MDNPI 1245557578
Title
Ceo
Phone
(408) 560-9985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

15899 Los Gatos Almaden Rd Ste 3
Los Gatos, CA 95032-3739

Mailing address

15899 Los Gatos Almaden Rd Ste 3
Los Gatos, CA 95032-3739
Phone (408) 560-9985

Other identifiers 1

IdentifierTypeStateIssuer
1245557578OtherCANPI INDIVIDUAL

Other names 1

  • Restoration Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190503001105 CA Part B Supplier - Clinic/Group Practice 8224370655 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

15899 Los Gatos Almaden Rd
Ste 3
Los Gatos, CA 95032
Phone (669) 251-1067

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1972077907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15899 LOS GATOS ALMADEN RD STE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323739",
            "telephone_number": "408-560-9985",
            "fax_number": "408-731-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15899 LOS GATOS ALMADEN RD STE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323739",
            "telephone_number": "408-560-9985",
            "fax_number": "408-731-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "SAAH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-560-9985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1245557578",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restoration Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.