NPIMap

Organization Active NPI

The Renfrew Centers, Inc.

Doing business as The Renfrew Center of Georgia, LLC

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
National Provider Identifier
1225373145
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THE RENFREW CENTERS, INC.
Doing business as
The Renfrew Center of Georgia, LLC
Practice address
50 Glenlake Parkway NE
Suite 120
Atlanta, GA 30328
Phone
(678) 328-4100
Fax
(770) 671-8508
NPI assigned
Dec 4, 2012
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Mr. Samuel E. Menaged
Title
Chief Executive Officer
Phone
(215) 482-5353

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

50 Glenlake Parkway NE
Suite 120
Atlanta, GA 30328

Mailing address

8945 Ridge Avenue #R
Philadelphia, PA 19128
Phone (215) 482-5353

Other names 1

  • The Renfrew Center of Georgia, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Renfrew Center Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

50 Glenlake Pkwy
Ste 120
Sandy Springs, GA 30328
Phone (678) 328-4100

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1225373145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 RIDGE AVENUE #R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-482-5353",
            "fax_number": "215-487-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENLAKE PARKWAY NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "678-328-4100",
            "fax_number": "770-671-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENFREW CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "MENAGED",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-482-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Renfrew Center of Georgia, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.