Renaissance Behavioral Health, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD050324L Issued in PA

Legal business name

RENAISSANCE BEHAVIORAL HEALTH, LLC

Practice address

74 Pottstown Pike
1001
Chester Springs, PA 19425-9519

Phone

(610) 458-8036

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dorfman, M.D.

Title

Owner

Phone

(610) 458-8036

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Kathleen M. Young, M.A.

  • Counselor
  • Chester Springs, PA
  • NPI 1932187242
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1992038590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 POTTSTOWN PIKE",
            "address_2": "1001",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259519",
            "telephone_number": "610-458-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 POTTSTOWN PIKE",
            "address_2": "1001",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259519",
            "telephone_number": "610-458-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-458-8036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004013",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014486",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050324L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Pyle
• Marina Raban
• Rezvan Rafi, M.D.
• Julia Heather Ramanathan, MA, CCC-SLP
• Rachel Randazzo, LCSW
• Jacquelyn Repice, OTR/L
• Rising Moon Birth Services, LLC
• Tara Rodgers, PT
• Darren A Rodia, DPT
• Janet Lynn Rodia, OTR/L

• Psychiatry Physician in Chester Springs, PA
• Providers in Chester Springs, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.