Renegade Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RENEGADE WELLNESS

Practice address

725 Washington St Apt 108
Evanston, IL 60202-2243

Phone

(224) 300-0987

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Renee Surgi, LCSWNPI 1629533088

Title

Owner, Clinical Director

Phone

(847) 987-5655

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Surgi, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1629533088
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1831922293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WASHINGTON ST APT 108",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WASHINGTON ST APT 108",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022243",
            "telephone_number": "224-300-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEGADE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SURGI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "847-987-5655",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Reiniger, L.C.S.W.
• Katie Rembisz, MS, CGC
• Rene Berlind, LLC
• Holly Rene, N.P.
• Renee B Wright PC
• Res-Health Sleep Care Center of Evanston, LLC
• Resilience Physical Therapy PLLC
• Resonance Therapy and Counseling Services PLLC
• Resounding Hope LLC
• Matthew Michael Restko, MD

• Community/Behavioral Health Agency in Evanston, IL
• Providers in Evanston, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.