Active NPI
Renewed Mind Behavioral Health, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Durham, NC
National Provider Identifier
1205611191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Renal Treatment Centers Mid Atlantic Inc (Downtown Durham Dialysis)
- David Rendall, P.A.
- Samantha Lucia Reneau, MSW, LCSWA, LCASA
- Renee Gaskey-Foley, D.D.S., P.a.
- Sarah Renema
- Katelyn Elizabeth Rennyson
- Eric Renshaw, PTA
- Tracy L Rentner, R.N.C-F.N.P
- Julie Anne Reo, PT
- Research Triangle Counseling PLLC
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.