RESTORE 360 LLC
NPI 1790350015
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

NPI Status: Active since May 20, 2021

Contact Information

7516 CITY AVE STE 7&8
PHILADELPHIA, PA
ZIP 19151
Phone: (484) 373-2710
Fax: (484) 373-2710

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About RESTORE 360 LLC

This page provides the complete NPI Profile along with additional information for Restore 360 Llc, a provider established in Philadelphia, Pennsylvania operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1790350015 assigned on May 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Oluwaseyi Effraim (Executive Director)

NPI
1790350015
Provider Name
RESTORE 360 LLC
Entity Type
Organization
Location Address
7516 CITY AVE STE 7&8 PHILADELPHIA, PA 19151
Location Phone
(484) 373-2710
Location Fax
(484) 373-2710
Mailing Address
600 STETSON RD ELKINS PARK, PA 19027
Mailing Phone
(510) 504-4138
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2021
Last Update Date
01-09-2024
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A nurse practitioner (NP) like Restore 360 Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OLUWASEYI EFFRAIM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(484) 373-2710

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790350015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718065002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 6 + 5 + 0 + 0 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1790350015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MRS. OLUWASEYI OLUWASEUN EFFRAIM MPH MSN CRNP PMHNP

Nurse Practitioner

(Psychiatric/Mental Health)

7516 CITY AVE STE 7&8
PHILADELPHIA, PA
ZIP 19151

(484) 383-2710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790350015, enumerated as an "organization" on May 20, 2021.

The provider is located at 7516 CITY AVE STE 7&8 PHILADELPHIA, PA 19151 and the phone number is (484) 373-2710.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.