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DAWN M. PORTER, MD
NPI 1225404551
Psychiatry & Neurology - Child & Adolescent Psychiatry in Caseyville, IL

Active since August 21, 2015
1004 PEBBLE BEACH DR, CASEYVILLE, IL 62232(913) 461-0369(913) 461-0832 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dawn M. Porter, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAWN M. PORTER, MD (NPI 1225404551) is a healthcare organization registered as a child & adolescent psychiatry in Caseyville, Illinois and active in the NPI registry since August 2015. The organization lists Dawn Michelle Porter, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1225404551
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameFAMILY RENEWED, LLC
Location Address1004 PEBBLE BEACH DRCaseyville, IL 62232-2834
Mailing Address1004 Pebble Beach DrCaseyville, IL 62232-2834 · (913) 461-0369 · Fax (913) 461-0832
Phone(913) 461-0369
Fax(913) 461-0832
Organization SubpartNo
Authorized OfficialDawn Michelle PorterFounder/ceo · (913) 461-0369
Enumeration DateAugust 21, 2015
✔ NPI 1225404551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MO · 113680
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1004 PEBBLE BEACH DR, Caseyville, IL 62232
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Other Names 1

Doing Business AsDawn M. Porter, Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Renewed, LLC's NPI number?

The NPI number for Family Renewed, LLC is 1225404551. It was assigned to this organization in the NPPES registry on August 21, 2015. The provider is doing business as Dawn M. Porter, MD.

Where is Family Renewed, LLC located?

Family Renewed, LLC is located at 1004 Pebble Beach Dr, Caseyville, IL 62232. The listed phone number is (913) 461-0369.

What is Family Renewed, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Family Renewed, LLC was last updated on August 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.