Renew Psychiatric Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENEW PSYCHIATRIC SERVICES

Practice address

400 Central Ave NW Ste 1400
Orange City, IA 51041-1331

Phone

(712) 230-3012

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Heather M. Glasser, PMHNP

Title

Owner

Phone

(712) 230-3012

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dean R Chier, M.D.

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1962564724
  NPD
• Serena Marie Kennedy, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1336440544
  NPD

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1720740772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW STE 1400",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW STE 1400",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411331",
            "telephone_number": "712-230-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-230-3012",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

• Derek Michael Potthoff, LMSW
• Mattea Lauren Prins, PA
• Sarah Louise Raak, D.C,
• Refining Wellness, LLC
• Lindsey Remien, ATC
• Kylie Rinehart
• Morgan Rivera
• Rock Chiropractic
• Kaileen Carol Roelofs, LMSW
• Tanya Rowenhorst, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orange City, IA
• Providers in Orange City, IA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• 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.