NPIMap

Organization Active NPI

The Renfrew Centers, Inc.

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1609279983
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THE RENFREW CENTERS, INC.
Practice address
12121 Wilshire Boulevard
Suite 601
Los Angeles, CA 90025
Phone
(310) 820-0205
Fax
(310) 207-1415
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Mr. Samuel E. Menaged
Title
Chief Executive Officer
Phone
(215) 482-5353

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

12121 Wilshire Boulevard
Suite 601
Los Angeles, CA 90025

Mailing address

8945 Ridge Avenue #R
Philadelphia, PA 19128
Phone (215) 482-5353

Other names 1

  • The Renfrew Center of California, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Renfrew Center Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

12121 Wilshire Blvd
Ste 601
Los Angeles, CA 90025
Phone (310) 820-0205

Practitioners & affiliated clinicians

Practitioners 6

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": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1609279983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 RIDGE AVENUE #R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-482-5353",
            "fax_number": "215-487-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BOULEVARD",
            "address_2": "SUITE 601",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-820-0205",
            "fax_number": "310-207-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENFREW CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "MENAGED",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-482-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Renfrew Center of California, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.