THE RENFREW CENTERS, INC. (NPI# 1417971904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417971904 |
Entity Type | Organization |
Organization Name | THE RENFREW CENTERS, INC. |
Other Organization Name | THE RENFREW CENTER OF PENNSYLVANIA |
Practice Address |
475 Spring Lane Philadelphia PA 19128 |
Mailing Address |
8945 Ridge Avenue #r Philadelphia PA 19128 |
Practice Telephone | 2154825353 |
Practice Fax Number | 2154873972 |
Mailing Telephone | 2154825353 |
Mailing Fax Number | 2154873972 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2016-02-26 |
Authorized Official Name | MR. SAMUEL E. MENAGED (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2154825353 |
Is Organization Subpart | Y |
Parent Organization Name | THE RENFREW CENTERS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 323P00000X | Psychiatric Residential Treatment Facility | NOT KNOWN | PA | Residential Treatment Facilities |
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The Renfrew Center of Pennsylvania | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609279983 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 12121 Wilshire Boulevard, Suite 601, Los Angeles, CA 90025 | 2014-10-01 |
1225373145 | The Renfrew Centers, Inc. | Clinic/Center | 50 Glenlake Parkway Ne, Suite 120, Atlanta, GA 30328 | 2012-12-04 |
1093940405 | The Renfrew Centers, Inc. | Clinic/Center | 4416 East-west Highway, Suite 350, Bethesda, MD 20814 | 2009-05-29 |
1306085097 | The Renfrew Centers, Inc. | Clinic/Center | 9400 N. Central Expressway, Dallas, TX 75231 | 2009-02-19 |
1083812762 | The Renfrew Centers, Inc. | Clinic/Center | 1624 Westgate Circle, Suite 100, Brentwood, TN 37027 | 2007-07-05 |
1841497518 | The Renfrew Centers, Inc. | Clinic/Center | 6633 Fairview Road, Charlotte, NC 28210 | 2007-06-27 |
1912008137 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 7700 Renfrew Lane, Coconut Creek, FL 33073 | 2006-09-26 |
1568561298 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 38 E. 32nd Street, 10th Floor, New York, NY 10016 | 2006-09-21 |
1811398803 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 5 Revere Drive, One Northbrook Place, Suite 100, Northbrook, IL 60062 | 2014-09-09 |
1346674215 | The Renfrew Centers, Inc. | Clinic/Center | 870 R Commonwealth Avenue, Boston, MA 02215 | 2013-08-28 |
Street Address |
475 SPRING LANE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578087573 | Emily Brune | Counselor | 475 Spring Lane, Philadelphia, PA 19128 | 2017-08-01 |
1841653680 | Deborah Salom | Counselor | 475 Spring Lane, Philadelphia, PA 19128 | 2016-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
Find all providers in zip 19128 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
1952939068 | King Motivates, LLC | Clinic/Center | 1939 Page St, Philadelphia, PA 19121-1513 | 2020-04-01 |
1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
1235781220 | Annie Strout Counseling LLC | Clinic/Center | 1713 S Dorrance St, Philadelphia, PA 19145-2108 | 2019-07-10 |
1497170625 | Citywide Community Counseling Services | Clinic/Center | 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 | 2014-02-25 |
1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
1780008961 | Citywide Community Counseling Services | Clinic/Center | 137 E. Allegheny Avenue, Philadelphia, PA 19134 | 2014-02-10 |
1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19128 |
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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.