NPIMap

Organization Active NPI

A Renewed Mind

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1760749444
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A RENEWED MIND
Practice address
1832 Adams St
Toledo, OH 43604
Phone
(419) 720-9247
Fax
(419) 422-7801
NPI assigned
Apr 18, 2012
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Crystal A Hamann
Title
Credentialing Specialist
Phone
(419) 330-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OH
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1832 Adams St
Toledo, OH 43604

Mailing address

885 Commerce Dr
Perrysburg, OH 43551-5268
Phone (419) 330-1060

Other names 1

  • A City of Compassion Development Corporation Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

109 W Main St
Alvordton, OH 43501
Phone (419) 924-2029

516 E High St
Bryan, OH 43506
Phone (419) 633-0705

1946 N 13th St
Ste 420
Toledo, OH 43604
Phone (419) 720-9247

Practitioners & affiliated clinicians

Practitioners 98

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.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1760749444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515268",
            "telephone_number": "419-330-1060",
            "fax_number": "419-931-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 ADAMS ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43604",
            "telephone_number": "419-720-9247",
            "fax_number": "419-422-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RENEWED MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "HAMANN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "419-330-5115"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A City of Compassion Development Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.