Provider Demographics
NPI:1124777479
Name:RESTORATIVE BRAIN CENTER
Entity type:Organization
Organization Name:RESTORATIVE BRAIN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBB
Authorized Official - Middle Name:
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-929-9244
Mailing Address - Street 1:4550 W 109TH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1309
Mailing Address - Country:US
Mailing Address - Phone:816-820-8483
Mailing Address - Fax:816-466-5801
Practice Address - Street 1:4550 W 109TH ST STE 240
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1309
Practice Address - Country:US
Practice Address - Phone:816-820-6742
Practice Address - Fax:816-466-5801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty