RENEW BEHAVIORAL HEALTH (NPI# 1386130961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386130961 |
| Entity Type | Organization |
| Organization Name | RENEW BEHAVIORAL HEALTH |
| Practice Address |
1431 Enchante Way Oceanside CA 92056-5675 |
| Practice Telephone | 9498135161 |
| Mailing Telephone | 9498135161 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |
| Authorized Official Name | MR. JOHN HERNANDEZ (DIRECTOR/PARTNER) |
| Authorized Official Telephone | 9498135161 |
| Authorized Official Credential | LMFT CALIFORNIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 001372496 | MO | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Renew Behavioral Health | 20451 East Duke, Aurora, CO 80013 |
| Street Address |
1431 ENCHANTE WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-5675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1154972966 | Naomi C Martin, Marriage and Family Counseling Inc. | Community/Behavioral Health | 2111 S El Camino Real # 30092054, Oceanside, CA 92054-9001 | 2019-09-23 |
| 1639640212 | Crownview Co-occurring Institute | Community/Behavioral Health | 212 N Clementine St, Oceanside, CA 92054-2805 | 2018-12-07 |
| 1114422540 | Jennifer Reyes | Community/Behavioral Health | 244 Hemlock Way, Oceanside, CA 92057-6646 | 2018-03-27 |
| 1093165243 | Del Mar Support Services, LLC | Community/Behavioral Health | 1523 San Mateo St, Oceanside, CA 92058-1126 | 2016-06-20 |
| 1346611233 | Michelle Conti Psyd LLC | Community/Behavioral Health | 2889 Davis St, Oceanside, NY 11572-2014 | 2015-10-18 |
| 1992034748 | Beth Vardaro Lcsw PC | Community/Behavioral Health | 341 Links Dr E, Oceanside, NY 11572-5624 | 2009-12-08 |
| 1013146224 | Denis Eduardo Blumberg Lcsw-r | Community/Behavioral Health | 285 Merrifield Ave, Oceanside, NY 11572-2913 | 2009-07-09 |
| 1023213592 | North County Lifeline | Community/Behavioral Health | 707 Oceanside Blvd, Oceanside, CA 92054-5225 | 2007-06-15 |
| 1255930533 | Legacy Life Counseling & Consulting Inc | Community/Behavioral Health | 420 N El Camino Real, Oceanside, CA 92058-7868 | 2020-10-19 |
| Find all providers in OCEANSIDE | ||||
Please comment or provide details below to improve the information on RENEW BEHAVIORAL HEALTH.
| 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.