NPIMap

Organization Active NPI

The Renfrew Centers, Inc.

Doing business as The Renfrew Center of Illinois, LLC

  • Adult Mental Health Clinic/Center
  • Northbrook, IL
National Provider Identifier
1811398803
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THE RENFREW CENTERS, INC.
Doing business as
The Renfrew Center of Illinois, LLC
Practice address
5 Revere Drive
One Northbrook Place, Suite 100
Northbrook, IL 60062
Phone
(847) 291-6805
Fax
(847) 291-6815
NPI assigned
Sep 9, 2014
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Mr. Samuel E. Menaged
Title
Chief Executive Officer
Phone
(215) 482-5353

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

5 Revere Drive
One Northbrook Place, Suite 100
Northbrook, IL 60062

Mailing address

8945 Ridge Avenue #R
Philadelphia, PA 19128
Phone (215) 482-5353

Other names 1

  • The Renfrew Center of Illinois, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Renfrew Center Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1811398803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 RIDGE AVENUE #R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-482-5353",
            "fax_number": "215-487-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REVERE DRIVE",
            "address_2": "ONE NORTHBROOK PLACE, SUITE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-291-6805",
            "fax_number": "847-291-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENFREW CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "MENAGED",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-482-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Renfrew Center of Illinois, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.