Renaissance Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENAISSANCE BEHAVIORAL HEALTH LLC

Practice address

3740 Euclid Ave Ste 101
Cleveland, OH 44115-2229

Phone

(440) 606-2003

NPI assigned

May 9, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Tenita Clark, CNP

Title

Partner / Chief Clinical Officer

Phone

(440) 606-2003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renaissance Behavioral Health LLC Doing business as

Electronic endpoints 1

Tax ID family

Renaissance Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Renaissance Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1609531920
  NPD tax ID
• Renaissance Behavioral Health LLC

  • Psychiatry Physician
  • Cleveland, OH
  • NPI 1689251845
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: kclark@rbh.com

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1376165639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 EUCLID AVE STE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152229",
            "telephone_number": "440-606-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 EUCLID AVE STE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152229",
            "telephone_number": "440-606-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 Cherokee Trl",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440947209",
            "country_code": "US",
            "telephone_number": "216-496-3530 x21649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENAISSANCE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-09",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "TENITA",
        "authorized_official_title_or_position": "PARTNER / CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "440-606-2003",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402869",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kclark@RBH.com",
            "affiliation": "N",
            "endpointDescription": "temporary",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "938 Cherokee Trl",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440947209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Renaissance Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Reminder
• Daphne Remulla
• Ernst Marc Remy
• Berna Remzi, M.D.
• Bryan Oyong Ren, BS
• Renaissance Behavioral Health LLC
• Renaissance Behavioral Health LLC
• Rahul D Renapurkar, M.D.
• Michaella Renaud, PA-C
• Megan Zawilinski Rench

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.