NPIMap

Organization Active NPI

Renaissance Training Institute for Empowered Living, Inc.

  • Psychologist
  • Arlington, TX
National Provider Identifier
1285927517
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
RENAISSANCE TRAINING INSTITUTE FOR EMPOWERED LIVING, INC.
Practice address
1101 N Little School Rd
B
Arlington, TX 76017-1900
Phone
(817) 723-3064
Fax
(817) 478-4656
NPI assigned
May 19, 2011
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Angela Mitchell, PHD
Title
Board Chair
Phone
(817) 939-2376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1101 N Little School Rd
B
Arlington, TX 76017-1900

Mailing address

1101 N Little School Rd
B
Arlington, TX 76017-1900
Phone (817) 723-3064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1285927517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N LITTLE SCHOOL RD",
            "address_2": "B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171900",
            "telephone_number": "817-723-3064",
            "fax_number": "817-478-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N LITTLE SCHOOL RD",
            "address_2": "B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171900",
            "telephone_number": "817-723-3064",
            "fax_number": "817-478-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE TRAINING INSTITUTE FOR EMPOWERED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "817-939-2376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.