Renewed Life Therapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RENEWED LIFE THERAPY

Practice address

1515 E Silver Springs Blvd # 147-2
Ocala, FL 34470-6831

Phone

(352) 875-3029

Fax

(352) 877-2493

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly A Sindy, LCSWNPI 1174037816

Title

Owner

Phone

(352) 875-3029

Specialties & licenses 1

Addresses

Other names 1

• Renewed Life Therapy Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly A Sindy, LCSW

  • Clinical Social Worker
  • Ocala, FL
  • NPI 1174037816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1043987266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 SW 44TH CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744345",
            "telephone_number": "352-875-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E SILVER SPRINGS BLVD # 147-2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706831",
            "telephone_number": "352-875-3029",
            "fax_number": "352-877-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "SINDY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-875-3029",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Availity",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Availity",
            "address_1": "1515 E Silver Springs Blvd Ste 1472",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344706831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ocala",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 East Silver Springs Boule",
            "address_2": "Suite 147 - 2",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Renewed Life Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renal Treatment Centers-Southeast, LP.
• Renal Treatment Centers-Southeast, LP.
• Erin E Renaud
• Renew Psychiatry
• Renewal Primary Care, LLC
• Bobby A Reno, P.T.A.
• Renuka Swaminathan M.D.,P.a
• Tatiana Yeva Renz
• Aguinaldo Lumain Repiedad III, PTA
• Elaine Iligan Repiedad

• Adult Mental Health Clinic/Center in Ocala, FL
• Providers in Ocala, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.