Active NPI
Renewed Minds Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1790665164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RENEWED MINDS PSYCHIATRIC SERVICES LLC
- Practice address
- 1021 Eden Way N
Chesapeake, VA 23320-2776 - Phone
- (757) 546-4494
- Fax
- (757) 765-6052
- NPI assigned
- Sep 5, 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
- Juanita Parker
- Title
- Nurse Practitioner
- Phone
- (757) 546-4494
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1021 Eden Way N
Chesapeake, VA 23320-2776
Mailing address
1021 Eden Way N Ste 118
Chesapeake, VA 23320-2776
Phone (757) 546-4494
National Provider Directory
National Provider DirectoryLocations
1021 Eden Way N
Chesapeake, VA 23320
Phone (434) 203-9097
1728 Virginia Beach Blvd
Ste 114
Virginia Beach, VA 23454
Phone (757) 546-4494
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
- NPI 1114440484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1790665164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 EDEN WAY N STE 118",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202776",
"telephone_number": "757-546-4494",
"fax_number": "757-765-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 EDEN WAY N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202776",
"telephone_number": "757-546-4494",
"fax_number": "757-765-6052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED MINDS PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-05",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JUANITA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "757-546-4494"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Renaissance Pediatrics PC
- Renal Treatment Centers Mid Atlantic Inc (Chesapeake Dialysis Center)
- Rendell Kare Home Health Services, LLC (Rendell Care)
- Angel Daniel Rendon, SFIDC
- Renees Family Services LLC
- Stephanie K Repole, MD
- Resilience Comprehensive Mental Health Services, LLC
- Resilience Professional Counseling, LLC
- Resilient1 Healthcare LLC
- Resolve Birth Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.