NPIMap

Organization Active NPI

A Renewed Mind

  • Community/Behavioral Health Agency
  • Perrysburg, OH
National Provider Identifier
1487937066
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C.0500399 Issued in OH
Legal business name
A RENEWED MIND
Practice address
900 W South Boundary St BLDG 2
Perrysburg, OH 43551-5230
Phone
(419) 873-8280
Fax
(419) 873-8320
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mr. James Jeffrey Earle, MAE, MRC; CDCA; LPC
Title
Clinical Therapist
Phone
(419) 873-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C.0500399 OH Primary

Addresses

Primary practice location

900 W South Boundary St BLDG 2
Perrysburg, OH 43551-5230

Mailing address

1704 Cass Rd
Maumee, OH 43537-2331
Phone (614) 962-0264

National Provider Directory

National Provider Directory
Tax ID family
A Renewed Mind3 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.

Locations

900 W South Boundary St
Bldg 2
Perrysburg, OH 43551
Phone (419) 873-8280

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1487937066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 CASS RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372331",
            "telephone_number": "614-962-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SOUTH BOUNDARY ST BLDG 2",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515230",
            "telephone_number": "419-873-8280",
            "fax_number": "419-873-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RENEWED MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "419-873-8280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAE, MRC; CDCA; LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "C.0500399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.