Organization Active NPI

Renewal Centers

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1083784698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-10793 Issued in AZ
Legal business name
RENEWAL CENTERS
Practice address
633 N 2ND Ave
Tucson, AZ 85705-7801
Phone
(520) 791-9974
Fax
(529) 731-2057
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Annette LaddNPI 1134286305
Title
Director
Phone
(520) 731-2055

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-10793 AZ Primary

Addresses

Primary practice location

633 N 2ND Ave
Tucson, AZ 85705-7801

Mailing address

633 N 2ND Ave
Tucson, AZ 85705-7801
Phone (520) 791-9974

National Provider Directory

National Provider Directory
Tax ID family
Renewal Centers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

633 N 2nd Ave
Tucson, AZ 85705
Phone (520) 791-9974

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083784698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N 2ND AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057801",
            "telephone_number": "520-791-9974",
            "fax_number": "529-731-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N 2ND AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057801",
            "telephone_number": "520-791-9974",
            "fax_number": "529-731-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-731-2055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-10793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.