Renewed Mental Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RENEWED MENTAL HEALTH LLC

Practice address

2430 Estancia Blvd Ste 106
Clearwater, FL 33761-2607

Phone

(727) 275-2684

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Wiliam McCormack, LMHC

Title

President

Phone

(727) 275-2684

Specialties & licenses 1

Addresses

Locations

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.

• William McCormack Jr., LMHC

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1548711054
  NPD

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1235797077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15442",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337665442",
            "telephone_number": "727-275-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESTANCIA BLVD STE 106",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612607",
            "telephone_number": "727-275-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "WILIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-275-2684",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.