Active NPI
Renew U Therapy & Wellness
- Family Medicine Physician
- Youngstown, OH
National Provider Identifier
1720955818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RENEW U THERAPY & WELLNESS
- Practice address
- 2152 Glenwood Ave
Youngstown, OH 44511 - Phone
- (330) 554-4009
- NPI assigned
- Oct 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mason Brian Yoder
- Title
- Ceo
- Phone
- (330) 554-4009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2152 Glenwood Ave
Youngstown, OH 44511
Mailing address
2152 Glenwood Ave
Youngstown, OH 44511
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2331657 | Renew U Therapy & Wellness, LLC | Certificate of waiver | Oct 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Renew U Therapy Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Youngstown, OH
- NPI 1033085766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1720955818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 GLENWOOD AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2152 GLENWOOD AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44511",
"telephone_number": "330-554-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW U THERAPY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-22",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "YODER",
"authorized_official_first_name": "MASON",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "330-554-4009"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.