Renue Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RENUE PSYCHIATRY PLLC

Practice address

1215 N Ivy Loop Ste 101
Casa Grande, AZ 85122-5406

Phone

(480) 544-4400

Fax

(480) 534-6706

NPI assigned

Dec 26, 2023

Organization subpart

No

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

Authorized official

Name

Nneka Mariagoretti Onyia, DNPNPI 1932884137

Title

Owner of Entity

Phone

(480) 544-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nneka Mariagoretti Onyia

  • Psychiatric/Mental Health Nurse Practitioner
  • Casa Grande, AZ
  • NPI 1932884137
  Medicare reassignment NPD Authorized official
• Adebayo Olufemi Atolagbe, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1891962056
  NPD (past)

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1699544189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N IVY LOOP STE 101",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225406",
            "telephone_number": "480-544-4400",
            "fax_number": "480-534-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N IVY LOOP STE 101",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225406",
            "telephone_number": "480-544-4400",
            "fax_number": "480-534-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "ONYIA",
        "authorized_official_first_name": "NNEKA",
        "authorized_official_middle_name": "MARIAGORETTI",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "480-544-4400",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.