Restorative Brain Center | |
4901 W 136th St Ste 101 Leawood KS 66224-5926 | |
(816) 820-8483 | |
(816) 466-5801 |
Full Name | Restorative Brain Center |
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Speciality | Psychiatry & Neurology |
Location | 4901 W 136th St Ste 101, Leawood, Kansas |
Authorized Official Name and Position | Robb Said (BILLING MANAGER) |
Authorized Official Contact | 8169299244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restorative Brain Center 4901 W 136th St Ste 101 Leawood KS 66224-5926 Ph: (816) 820-8483 | Restorative Brain Center 4901 W 136th St Ste 101 Leawood KS 66224-5926 Ph: (816) 820-8483 |
NPI Number | 1124777479 |
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Provider Enumeration Date | 03/23/2022 |
Last Update Date | 10/02/2025 |
Certification Date | 10/02/2025 |
Medicare PECOS PAC ID | 0042750515 |
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Medicare Enrollment ID | O20240911000902 |
Identifier | Type | State | Issuer |
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1124777479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Nancy B Israel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750350674 PECOS PAC ID: 4284673682 Enrollment ID: I20050427000655 |
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