NPIMap

Organization Active NPI

Renu Brain Treatment Center, LLC

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1487229530
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RENU BRAIN TREATMENT CENTER, LLC
Doing business as
Renu Brain Treatment Center LLC
Practice address
9237 Ward Pkwy Ste 240
Kansas City, MO 64114-3330
Phone
(816) 799-7996
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Lyndsay Denae South, PA ABANPI 1376218511
Title
Owner
Phone
(816) 321-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

9237 Ward Pkwy Ste 240
Kansas City, MO 64114-3330

Mailing address

9237 Ward Pkwy Ste 240
Kansas City, MO 64114-3330
Phone (816) 312-1414

Other names 1

  • Renu Brain Treatment Center LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.renu.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210809001551 MO Part B Supplier - Clinic/Group Practice 6507260866 Receives reassigned benefits from 4 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

9237 Ward Pkwy
Ste 240
Kansas City, MO 64114
Phone (816) 321-1414

9233 Ward Pkwy
Ste 125
Kansas City, MO 64114
Phone (816) 333-1172

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1487229530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143330",
            "telephone_number": "816-312-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143330",
            "telephone_number": "816-799-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU BRAIN TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-09-23",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "LYNDSAY",
        "authorized_official_middle_name": "DENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-321-1414",
        "authorized_official_credential": "PA ABA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.renu.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9237 Ward Pkwy Ste 240",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641143330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Renu Brain Treatment Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.