Renewing Minds Mental Health Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEWING MINDS MENTAL HEALTH GROUP

Practice address

55 Harry S Truman Dr
Suite 31
Largo, MD 20774-1047

Phone

(202) 867-9394

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shaun Riley, PH.D.

Title

Owner/Ceo

Phone

(202) 867-9394

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1801333232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HARRY S TRUMAN DR",
            "address_2": "SUITE 31",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207741047",
            "telephone_number": "202-867-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HARRY S TRUMAN DR",
            "address_2": "SUITE 31",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207741047",
            "telephone_number": "202-867-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING MINDS MENTAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "202-867-9394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.