Organization Active NPI

Renewed Hope Behavioral Health PC

  • Psychiatry Physician
  • Grove City, PA
National Provider Identifier
1053365015
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS008623L Issued in PA
Legal business name
RENEWED HOPE BEHAVIORAL HEALTH PC
Practice address
15 Woodland Center Dr
Grove City, PA 16127-4677
Phone
(724) 458-0811
NPI assigned
May 22, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Linda Zulovich, D.O.NPI 1285621284
Title
Owner
Phone
(724) 458-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW013618L PA
Clinical Social Worker 1041C0700X CW012617 PA
Psychiatry Physician 2084P0800X OS008623L PA Primary

Addresses

Primary practice location

15 Woodland Center Dr
Grove City, PA 16127-4677

Mailing address

PO Box 348
Grove City, PA 16127-0348
Phone (724) 458-0811

Other identifiers 1

IdentifierTypeStateIssuer
0014943530011MedicaidPA

National Provider Directory

National Provider Directory

Locations

15 Woodland Center Dr
Grove City, PA 16127
Phone (724) 458-0811

15 Woodland Center Dr
#348
Grove City, PA 16127
Phone (724) 458-0811

440 Hillcrest Ave
Grove City, PA 16127
Phone (724) 458-0811

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1053365015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161270348",
            "telephone_number": "724-458-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WOODLAND CENTER DR",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274677",
            "telephone_number": "724-458-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "ZULOVICH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-458-0811",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW013618L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012617",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS008623L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014943530011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.