Organization Active NPI

Renewal Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milford, CT
National Provider Identifier
1790641413
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RENEWAL PSYCHIATRY LLC
Practice address
84 Broad St Ofc 7
Milford, CT 06460-3383
Phone
(860) 809-3725
Fax
(203) 902-7419
NPI assigned
Dec 26, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Joseph Salvatore Impellizeri, APRN, PMHNPNPI 1609617000
Title
Nurse Practitioner
Phone
(860) 809-3725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

84 Broad St Ofc 7
Milford, CT 06460-3383

Mailing address

84 Broad St Ofc 7
Milford, CT 06460-3383
Phone (860) 809-3725

Other practice location 1

200 Atlantic Ave Ste R3
Manasquan, NJ 08736-1352
Phone (860) 809-3725

National Provider Directory

National Provider Directory

Locations

84 Broad St
Ofc 7
Milford, CT 06460
Phone (203) 701-9899

200 Atlantic Ave
Ste R3
Manasquan, NJ 08736
Phone (860) 809-3725

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1790641413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BROAD ST OFC 7",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603383",
            "telephone_number": "860-809-3725",
            "fax_number": "203-902-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROAD ST OFC 7",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603383",
            "telephone_number": "860-809-3725",
            "fax_number": "203-902-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Atlantic Ave Ste R3",
            "address_purpose": "LOCATION",
            "city": "Manasquan",
            "state": "NJ",
            "postal_code": "087361352",
            "country_code": "US",
            "telephone_number": "860-809-3725",
            "fax_number": "203-902-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWAL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "IMPELLIZERI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "860-809-3725",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.