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RENAISSANCE TREATMENT CENTER
NPI 1396117610
Community/Behavioral Health in Fairmount Heights, MD

Active since October 26, 2015
525 EASTERN AVE, 2ND FLOOR, FAIRMOUNT HEIGHTS, MD 20743(301) 925-2255(301) 925-2020 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renaissance Treatment Center NPPES

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

RENAISSANCE TREATMENT CENTER (NPI 1396117610) is a healthcare organization registered as a community/behavioral health in Fairmount Heights, Maryland and active in the NPI registry since October 2015. The organization lists Andrea Syphax, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396117610
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRENAISSANCE MEDICAL GROUP, INC.
Location Address525 EASTERN AVE, 2ND FLOORFairmount Heights, MD 20743-1677
Mailing AddressPo Box 2966Hyattsville, MD 20784-0966 · (301) 925-2255 · Fax (301) 925-2020
Phone(301) 925-2255
Fax(301) 925-2020
Organization SubpartNo
Authorized OfficialAndrea SyphaxAdministrator · (301) 925-2255
Enumeration DateOctober 26, 2015
✔ NPI 1396117610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MD · 104804
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
525 EASTERN AVE, Fairmount Heights, MD 20743
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Other Names 1

Doing Business AsRenaissance Treatment Center

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARUN MANSARAY
Case Manager/Care Coordinator
525 EASTERN AVE
FAIRMOUNT HEIGHTS, MD 20743
Prince George's County (571) 418-4211
CESAR B CARVAJAL
Chiropractor
525 EASTERN AVE
FAIRMOUNT HEIGHTS, MD 20743
Prince George's County (301) 925-2013

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 Renaissance Medical Group, Inc.'s NPI number?

The NPI number for Renaissance Medical Group, Inc. is 1396117610. It was assigned to this organization in the NPPES registry on October 26, 2015. The provider is doing business as Renaissance Treatment Center.

Where is Renaissance Medical Group, Inc. located?

Renaissance Medical Group, Inc. is located at 525 Eastern Ave 2nd Floor, Fairmount Heights, MD 20743. The listed phone number is (301) 925-2255.

What is Renaissance Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Renaissance Medical Group, Inc. was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.