Renovate Mental, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RENOVATE MENTAL, LLC

Practice address

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102

Phone

(301) 828-2350

Fax

(301) 828-2350

NPI assigned

Jul 20, 2024

Last updated

Jul 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucas Young, PMHNP-BCNPI 1992447742

Title

Psychiatric Nurse Practitioner

Phone

(301) 828-2350

Specialties & licenses 1

Addresses

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.

• Lucas Dale Young, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, MD
  • NPI 1992447742
  NPD Authorized official

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1336987551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DR STE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "301-828-2350",
            "fax_number": "301-828-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DR STE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "301-828-2350",
            "fax_number": "301-828-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVATE MENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-828-2350",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehab 2 Perform LLC
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• Mary Reis, CCC-SLP
• Remjoy Special Tranportation Services LLC
• Renal Treatment Centers Mid Atlantic Inc (Germantown Dialysis)
• Rest Assured (Rest Assured Transportation)
• Restorative Focus Counseling Services LLC
• Kathryn Reutemann, PT
• Amar Rewari, MD, MBA
• Rha Solutions LLC

• Psychiatry Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.