Renewed Journey Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RENEWED JOURNEY PSYCHOLOGICAL SERVICES LLC

Practice address

5442 E 5TH St Ste a
Tucson, AZ 85711-2334

Phone

(520) 904-5277

Fax

(520) 904-5277

NPI assigned

Aug 26, 2021

Last updated

Jan 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Y Ford, PHDNPI 1649441197

Title

President/Ceo

Phone

(520) 904-5277

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Yvonne Ford

  • Behavior Technician
  • Tucson, AZ
  • NPI 1649441197
  NPD Authorized official
• Amie Merritt

  • Social Worker
  • Tucson, AZ
  • NPI 1255129292
  NPD
• Angela Ann Chiodo, PSY.D.

  • Psychologist
  • Tucson, AZ
  • NPI 1396998100
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1033886908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19066",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857319066",
            "telephone_number": "520-904-5277",
            "fax_number": "855-718-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 E 5TH ST STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112334",
            "telephone_number": "520-904-5277",
            "fax_number": "520-904-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED JOURNEY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "520-904-5277",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195157",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorena Rendon, LASAC
• Renewal Centers
• Renewal Centers Inc
• Renewal Counseling CTRS
• Renewed Health Infusion Center LLC
• Renewed Medical Health PLLC
• Ethan Michael Renfrew
• Robert G. Renfro, DDS
• Marshall Tyler Renna, PHARMD
• Margaret Ann Rennels, M.D.

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.