Restore 360 LLC
NPI 1790350015 · Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Restore 360 LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Philadelphia, PA (NPI 1790350015).
Provider details
- NPI number
- 1790350015
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Oluwaseyi Effraim, Executive Director(484) 373-2710
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Frequently asked questions
- What is Restore 360 LLC's NPI number?
- Restore 360 LLC's National Provider Identifier (NPI) is 1790350015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Restore 360 LLC?
- Restore 360 LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Restore 360 LLC located?
- Restore 360 LLC's practice location on file with NPPES is 7516 City Ave Ste 7&8, Philadelphia, PA 19151-2102.
- What is Restore 360 LLC's phone number?
- The practice phone number listed in the NPPES registry for Restore 360 LLC is (484) 373-2710.
- Does Restore 360 LLC accept Medicare?
- Restore 360 LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Restore 360 LLC?
- The authorized official listed on Restore 360 LLC's NPPES record is Oluwaseyi Effraim, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Restore 360 LLC's NPI active?
- Yes — Restore 360 LLC's NPI (1790350015) is active in the NPPES registry as of the last update on 2024-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.