Organization Active NPI

Restore Life PLC

  • Marriage & Family Therapist
  • Northville, MI
National Provider Identifier
1992289474
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RESTORE LIFE PLC
Practice address
18600 Northville Rd Ste 400a
Northville, MI 48168-3544
Phone
(734) 234-6688
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Kerry Basiinger, LMFT
Title
Owner / Authorized Official
Phone
(734) 234-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

18600 Northville Rd Ste 400a
Northville, MI 48168-3544

Mailing address

18600 Northville Rd Ste 400a
Northville, MI 48168-3544
Phone (734) 234-6688

National Provider Directory

National Provider Directory

Locations

18600 Northville Rd
Ste 400A
Northville, MI 48168
Phone (734) 234-6688

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": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1992289474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 NORTHVILLE RD STE 400A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683544",
            "telephone_number": "734-234-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NORTHVILLE RD STE 400A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683544",
            "telephone_number": "734-234-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE LIFE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BASIINGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-234-6688",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.