RESTORATION PSYCHIATRY PLLC
NPI 1760226930
Clinic/Center - Mental Health (Including Community Mental Health Center) in Woodbury, MN
About Restoration Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTORATION PSYCHIATRY PLLC (NPI 1760226930) is a healthcare organization registered as a mental health (including community mental health center) in Woodbury, Minnesota and active in the NPI registry since June 2024. The organization lists Akinbowale Ayeni, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Restoration Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Restoration Psychiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Restoration Psychiatry PLLC's NPI number?
The NPI number for Restoration Psychiatry PLLC is 1760226930. It was assigned to this organization in the NPPES registry on June 22, 2024.
Where is Restoration Psychiatry PLLC located?
Restoration Psychiatry PLLC is located at 2042 Wooddale Dr, Woodbury, MN 55125. The listed phone number is (651) 758-1899.
What is Restoration Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Restoration Psychiatry PLLC enrolled in Medicare?
Yes. Restoration Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Restoration Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Restoration Psychiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Restoration Psychiatry PLLC was last updated on June 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Restoration Psychiatry Pllc · NPI 1760226930
Mental Health (Including Community Mental Health Center) organization in Woodbury, Minnesota. Organization record, active in the CMS NPPES registry since June 22, 2024.
## Identity
- **NPI:** 1760226930 (Entity type: Organization)
- **Enumerated:** June 22, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Akinbowale Ayeni, CEO
## Practice location
- **Address:** 2042 WOODDALE DR, Woodbury, MN 55125-2981
- **Phone:** (651) 758-1899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1760226930) · Data from the CMS NPPES public registry.