RENEWED AGING SERVICES, INC (NPI# 1720562929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720562929 |
| Entity Type | Organization |
| Organization Name | RENEWED AGING SERVICES, INC |
| Practice Address |
4320 Winfield Rd Ste 200 Warrenville IL 60555-4023 |
| Mailing Address |
1013 Kylemore Ct Lockport IL 60441-2678 |
| Practice Telephone | 6304321170 |
| Mailing Telephone | 8156851064 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | JASON MORRIS (DIRECTOR) |
| Authorized Official Telephone | 8156851064 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1013 Kylemore Ct, Lockport, IL 604412678 | 8156851064 |
| Street Address |
4320 WINFIELD RD STE 200 |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356624035 | Christine Wanyana | Internal Medicine | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2011-09-20 |
| 1164036034 | Nicole Koch | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-09-08 |
| 1982218640 | Valerie Jochems | Occupational Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-09-01 |
| 1013535061 | Matthew Schultz | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-07-07 |
| 1629695994 | Nicole Jimenez | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-07-02 |
| 1740802214 | Renovena Health Inc | Internal Medicine | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-05-07 |
| 1407477052 | Platinum Psychology Services Inc | Psychologist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2020-05-05 |
| 1942848387 | Brian Bonk | Occupational Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2019-12-17 |
| 1851939292 | Paul Mckoy | Physical Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2019-12-17 |
| 1487290300 | Jacqueline Doolittle | Occupational Therapist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1275072332 | West Suburban Behavioral Health, LLC | Psychologist | 4580 Weaver Pkwy, Suite 204, Warrenville, IL 60555-3865 | 2017-02-21 |
| 1760881874 | Kunal Sachdev | Psychologist | 4580 Weaver Pkwy, Suite 204, Warrenville, IL 60555-3864 | 2014-08-14 |
| 1447529789 | Jason P Morris | Psychologist | 4320 Winfield Rd Ste 200, Warrenville, IL 60555-4023 | 2011-12-15 |
| 1063650141 | Martin Edward Lemon | Psychologist | 28379 Davis Pkwy, Suite 801, Warrenville, IL 60555-3032 | 2009-01-28 |
| 1528203007 | Mary Englund, Psyd., LLC | Psychologist | 4320 Winfield Rd, Suite 200, Warrenville, IL 60555-4018 | 2008-12-11 |
| 1487779468 | Martin Lemon, Phd, P.C. | Psychologist | 28379 Davis Pkwy, Suite 801, Warrenville, IL 60555-3032 | 2007-03-20 |
| 1417089988 | Allisun Marie Noe | Psychologist | 28379 Davis Pkwy, Suite 801, Warrenville, IL 60555-3032 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | WARRENVILLE |
| Zip Code | 60555 |
Please comment or provide details below to improve the information on RENEWED AGING SERVICES, INC.
| 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.