Organization Active NPI

Renew Family Therapy, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manteca, CA
National Provider Identifier
1689402653
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RENEW FAMILY THERAPY, INC
Practice address
2558 Greenleaf St
Manteca, CA 95337-8445
Phone
(209) 541-5154
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Mrs. Samantha Paige Houston-Crook, LMFTNPI 1659933133
Title
Marriage and Family Therapist
Phone
(209) 541-5154

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2558 Greenleaf St
Manteca, CA 95337-8445

Mailing address

1275 W Main St Unit 703
Ripon, CA 95366-1528
Phone (909) 264-8566

National Provider Directory

National Provider Directory

Locations

1275 W Main St
Unit 703
Ripon, CA 95366
Phone (909) 264-8566

Practitioners & affiliated clinicians

Practitioners 1

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1689402653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W MAIN ST UNIT 703",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953661528",
            "telephone_number": "909-264-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 GREENLEAF ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378445",
            "telephone_number": "209-541-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "HOUSTON-CROOK",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "209-541-5154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.