# RESTORATIVE PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greg Roussett NP in Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376483073
- **Authorized official:** GREG ROUSSETT NP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (510) 210-3902

## Contact information

- **Practice address:** 745 5TH AVE \# 500, NEW YORK, NY 10151-0099
- **Practice address phone:** (510) 210-3902
- **Practice address fax:** (510) 291-4856
- **Mailing address:** 745 5TH AVE \# 500, NEW YORK, NY 10151-0099
- **Mailing address phone:** (510) 210-3902
- **Mailing address fax:** (510) 291-4856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2026
- **Last updated:** 03/31/2026