Renewed Mind Psychotherapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWED MIND PSYCHOTHERAPEUTIC SERVICES

Practice address

11127 Reisterstown Rd
Owings Mills, MD 21117-2126

Phone

(443) 916-0718

NPI assigned

Dec 10, 2020

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Maurice Gregory Mayo Jr., LCSW-CNPI 1811551195

Title

Social Worker

Phone

(443) 916-0718

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maurice Gregory Mayo Jr., LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
  • NPI 1811551195
  NPD Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1659977031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11127 REISTERSTOWN RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172126",
            "telephone_number": "443-916-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11127 REISTERSTOWN RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172126",
            "telephone_number": "443-916-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND PSYCHOTHERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "443-916-0718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliant Therapy
• Brande C Remy
• Renaissance Care and Support Inc
• Renal Treatment Centers - Mid-Atlantic, Inc. (Owings Mills Dialysis Center)
• Yvette Merencilla Rendor
• Renewing Your Mind Inc.
• Resurgere Wellness LLC
• Cheryl C Reynolds, DDS
• Ana Reynoso
• Yefim Reznikov, M.S.P.T.

• Clinical Social Worker in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.