Organization Active NPI

Renewed Mind Behavioral Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1205611191
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RENEWED MIND BEHAVIORAL HEALTH, PLLC
Practice address
323 E Chapel Hill St Unit 114
Durham, NC 27702-2405
Phone
(919) 813-0738
NPI assigned
Aug 29, 2023
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Stoney Bowman, PMHNP-BC
Title
Owner
Phone
(919) 813-0738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

323 E Chapel Hill St Unit 114
Durham, NC 27702-2405

Mailing address

323 E Chapel Hill St Unit 114
Durham, NC 27702-2405
Phone (919) 813-0738

National Provider Directory

National Provider Directory

Locations

323 E Chapel Hill St
Unit 114
Durham, NC 27702
Phone (919) 813-0738

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1205611191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E CHAPEL HILL ST UNIT 114",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277022405",
            "telephone_number": "919-813-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E CHAPEL HILL ST UNIT 114",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277022405",
            "telephone_number": "919-813-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "STONEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-813-0738",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.