Renew Psych Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RENEW PSYCH SERVICES LLC

Practice address

1502 S Saint Francis Dr
Santa Fe, NM 87505-4040

Phone

(505) 409-6351

Fax

(505) 557-6709

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Holly Barnes Ford, PMHNP-BCNPI 1053060780

Title

Owner

Phone

(505) 409-6351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

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

• Holly Barnes Ford, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Fe, NM
  • NPI 1053060780
  Medicare reassignment Care Compare group NPD Authorized official
• Margaret M. Trivino, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Espanola, NM
  • NPI 1568245488
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1952010126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45681",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871745681",
            "telephone_number": "505-226-1960",
            "fax_number": "505-672-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054040",
            "telephone_number": "505-409-6351",
            "fax_number": "505-557-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PSYCH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BARNES FORD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-409-6351",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett Adams Reiss, LMSW
• Lisa Remedios, M.D.
• Cydney Remelius
• Karim A Remtullah, BPHARM
• Renee Diane LLC
• Jennifer Repede
• Shelley Repp
• Resolute Mental Health LLC
• Restorative Outcomes LLC
• Angelica Restrepo

• Psychiatric/Mental Health Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.