Active NPI
Renew Psychiatric Care, LLC
- Cognitive & Behavioral Psychologist
- Lighthouse Point, FL
National Provider Identifier
1457978991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Legal business name
- RENEW PSYCHIATRIC CARE, LLC
- Practice address
- 3170 N Federal Hwy Ste 206B
Lighthouse Point, FL 33064-6720 - Phone
- (954) 522-5100
- NPI assigned
- Jul 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Snader
- Title
- General Partner
- Phone
- (954) 552-5100
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary | ||
| Registered Dietitian | 133V00000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X |
Addresses
Primary practice location
3170 N Federal Hwy Ste 206B
Lighthouse Point, FL 33064-6720
Mailing address
3170 N Federal Hwy Ste 206B
Lighthouse Point, FL 33064-6720
National Provider Directory
National Provider DirectoryLocations
3170 N Federal Hwy
Ste 206B
Lighthouse Point, FL 33064
Phone (954) 522-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600300800000",
"number": "1457978991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 N FEDERAL HWY STE 206B",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 N FEDERAL HWY STE 206B",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646720",
"telephone_number": "954-522-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW PSYCHIATRIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-01",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A",
"authorized_official_last_name": "SNADER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "954-552-5100"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.