Renbrook Center for Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RENBROOK CENTER FOR MENTAL HEALTH LLC

Practice address

67 S Bedford St Ste 400
Burlington, MA 01803-5108

Phone

(508) 319-9369

Fax

(833) 434-1428

NPI assigned

Feb 15, 2021

Organization subpart

No

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

Authorized official

Name

Grace Margarete Lilienthal, PMHNP

Title

Practice Owner

Phone

(508) 319-9369

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1831782408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 LITTLETON RD APT 103",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243461",
            "telephone_number": "626-497-9439",
            "fax_number": "833-434-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S BEDFORD ST STE 400",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035108",
            "telephone_number": "508-319-9369",
            "fax_number": "833-434-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENBROOK CENTER FOR MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "LILIENTHAL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MARGARETE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "508-319-9369",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ellen Reich, O.T.R.
• Caroline Reidy, MD
• Maria Isabel Reinhardt
• Lauren Reinhart
• Rena Caregivers Inc
• Heather Renick-Miller, PT
• Meaghan Rennick, AU.D.
• Coralyn Gabriela Rentas, NP
• Pauline B Reohr, M.D.
• Casper Reske-Nielsen, M.D.

• All providers in Burlington, MA
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.