RENEW PSYCHIATRY SERVICES (NPI# 1134607898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134607898 |
| Entity Type | Organization |
| Organization Name | RENEW PSYCHIATRY SERVICES |
| Practice Address |
177 Electric Rd Salem VA 24153 |
| Mailing Address |
5715 Glen Haven Dr Roanoke VA 24019-4064 |
| Practice Telephone | 6789000308 |
| Practice Fax Number | 5402044097 |
| Mailing Telephone | 6789000308 |
| Mailing Fax Number | 5402044097 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MICHIE ARMELL BOLDEN (OWNER) |
| Authorized Official Telephone | 6789000308 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Renew Psychiatry Services PLLC | 3025 Peters Creek Rd Nw Ste B, Roanoke, Virginia 24019 |
| Street Address |
177 ELECTRIC RD |
| City | SALEM |
| State | VA |
| Zip Code | 24153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| 1679882518 | Hannah Joy Troester | Pharmacist | 1970 Roanoke Blvd (119), Salem, VA 24153 | 2010-09-27 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801399522 | Forefront Telecare PC | Psychiatry & Neurology | 325 13th St Ne Ste 404, Salem, OR 97301-2203 | 2018-03-09 |
| 1639333727 | Joel M Suckow | Psychiatry & Neurology | 471 High St Se Ste 350, Salem, OR 97301-3995 | 2008-07-17 |
| 1235399866 | Varuna Joshi | Psychiatry & Neurology | 1970 Roanoke Blvd # 116a7, Salem, VA 24153-6404 | 2008-06-17 |
| 1215115894 | Beal Essink | Psychiatry & Neurology | 702 Church St Ne, Salem, OR 97301-2404 | 2008-02-05 |
| 1366625881 | Chandras Clinic PC | Psychiatry & Neurology | 1249 Fairview Avenue Se, Salem, OR 97302 | 2007-12-06 |
| 1376693275 | Satyanarayana Chandragiri | Psychiatry & Neurology | 1249 Fairview Ave Se, Salem, OR 97302-2534 | 2007-01-11 |
| 1386704161 | Richard Bingham | Psychiatry & Neurology | 528 Cottage St Ne Ste 1d, Salem, OR 97301-3863 | 2006-12-11 |
| 1811061708 | Salem Hospital | Psychiatry & Neurology | 2454 Abbey Way Se, Salem, OR 97301-9564 | 2006-11-20 |
| 1457424350 | Martha H Aaron | Psychiatry & Neurology | 4747 Skyline Rd S # 180, Salem, OR 97306-4200 | 2006-11-16 |
| 1124105960 | Stefan Zora | Psychiatry & Neurology | 20 Central St, Suite 106, Salem, MA 01970-3739 | 2006-11-01 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.