NPIMap

Organization Active NPI

Renewing the Mind PC

  • Clinical Child & Adolescent Psychologist
  • Sioux City, IA
National Provider Identifier
1699150979
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
01010 Issued in IA
Legal business name
RENEWING THE MIND PC
Practice address
3930 Stadium Dr Ste 1
Sioux City, IA 51106-5166
Phone
(712) 271-6463
Fax
(712) 271-6464
NPI assigned
Jul 28, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Raul Sanchez, PHDNPI 1710068002
Title
President
Phone
(712) 271-6463

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
Clinical Child & Adolescent Psychologist 103TC2200X 01010 IA Primary

Addresses

Primary practice location

3930 Stadium Dr Ste 1
Sioux City, IA 51106-5166

Mailing address

3930 Stadium Dr Ste 1
Sioux City, IA 51106-5166
Phone (712) 271-6463

National Provider Directory

National Provider Directory

Locations

3930 Stadium Dr
Ste 1
Sioux City, IA 51106
Phone (712) 271-6463

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1699150979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 STADIUM DR STE 1",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065166",
            "telephone_number": "712-271-6463",
            "fax_number": "712-271-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 STADIUM DR STE 1",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065166",
            "telephone_number": "712-271-6463",
            "fax_number": "712-271-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING THE MIND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-271-6463",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IA",
            "license": "01010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.