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MIND RENEWED PSYCHIATRY LLC
NPI 1659115996
Nurse Practitioner - Psychiatric/Mental Health in Clinton, MD

Active since June 21, 2024
9015 WOODYARD RD STE 202, CLINTON, MD 20735(202) 800-8919(771) 717-8669 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2025, Jun 21, 2024 (2 updates tracked since 2024).

About Mind Renewed Psychiatry Llc NPPES

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

MIND RENEWED PSYCHIATRY LLC (NPI 1659115996) is a healthcare organization registered as a psychiatric/mental health in Clinton, Maryland and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Centreville and lists Daguse Donacin, Nurse Practitoner, as its authorized official.

NPPES Registry Identity

NPI1659115996
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND RENEWED PSYCHIATRY LLC
Location Address9015 WOODYARD RD STE 202Clinton, MD 20735-4209
Mailing Address712 H St Ne Ste 8919Washington, DC 20002-3627 · (202) 800-8919 · Fax (771) 717-8669
Phone(202) 800-8919
Fax(771) 717-8669
Organization SubpartNo
Authorized OfficialDaguse DonacinNurse Practitoner · (202) 800-8919
Enumeration DateJune 21, 2024
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1659115996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
9015 WOODYARD RD STE 202, Clinton, MD 20735
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Secondary Practice Location 1

Location 114137 Honey Hill CtCentreville, VA 20121-2655 · Phone (754) 246-9552

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is MIND RENEWED PSYCHIATRY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1659115996, enumerated as an "organization" on June 21, 2024.

Where is the provider located?

The provider is located at 9015 WOODYARD RD STE 202 CLINTON, MD 20735 and the phone number is (202) 800-8919.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.