Renew Psychiatric Group PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RENEW PSYCHIATRIC GROUP PLLC

Practice address

795 Executive Dr
Oviedo, FL 32765-7699

Phone

(407) 337-2587

Fax

(407) 887-6055

NPI assigned

Aug 11, 2021

Last updated

Oct 7, 2021By 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

Dr. Shannon Meyers, DNP, PMHNP-BCNPI 1174923585

Title

Sole Member

Phone

(407) 337-2587

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.

• Shannon Meyers, APRN, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oviedo, FL
  • NPI 1174923585
  NPD Authorized official

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1700551843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 KAYAK WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328201461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EXECUTIVE DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657699",
            "telephone_number": "407-337-2587",
            "fax_number": "407-887-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PSYCHIATRIC GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "407-337-2587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Sanders Reeves, PSY.D., LLC
• Chantelle Latanya Reid, COTA
• Monica Blair Reid, M.S., CF-SLP
• Remberts Prestige Home Care LLC
• Renew Chiropractic & Wellness PA
• Adam Reres
• Resilience Counseling Center Inc
• Resilient Counseling Coaching and Consulting LLC
• Vernon Martin Ressler III, D.C.
• Restoring Growth Counseling

• Psychiatric/Mental Health Nurse Practitioner in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.