Renew Behavioral Health and Wellness

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RENEW BEHAVIORAL HEALTH AND WELLNESS

Doing business as

Renew BHW

Practice address

7O Boston Post Rd
Suite R3
Wayland, MA 01778

Phone

(781) 330-1441

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Grace TerrazasNPI 1831489293

Title

Owner

Phone

(781) 330-1441

Specialties & licenses 3

Addresses

Other names 1

• Renew BHW Doing business as

Locations

Practitioners 1

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

• Grace Terrazas, LCSW

  • Clinical Social Worker
  • Marlborough, MA
  • NPI 1831489293
  NPD Authorized official

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1760043905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BELLEVIEW AVE",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521201",
            "telephone_number": "781-330-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7O BOSTON POST RD",
            "address_2": "SUITE R3",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "01778",
            "telephone_number": "781-330-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW BEHAVIORAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "TERRAZAS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-330-1441"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew BHW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renew BHW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monika Pszczola, LPC
• Michael Allen Putt, D.M.D.
• Farzana Rahman, R.PH.
• Adiamis Ramos-Delgado
• Diane Ray, PH.D.
• Saharnaz Rezania
• Nicole Ann Ricciardi, L.M.T.
• Sharon Richardson
• Susan G Rodgin, O.D.
• Miriam R Rosenberg, MD

• Multi-Specialty Clinic/Center in Wayland, MA
• Providers in Wayland, MA by specialty
• Multi-Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.