RENAISSANCETREATMENT CENTER
NPI 1689713638
Counselor - Addiction (Substance Use Disorder) in Fairmount Heights, MD

Active since February 06, 2007
525 EASTERN AVE STE B3, FAIRMOUNT HEIGHTS, MD 20743(301) 925-2255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renaissancetreatment Center NPPES

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

RENAISSANCETREATMENT CENTER (NPI 1689713638) is a healthcare organization registered as an addiction (substance use disorder) in Fairmount Heights, Maryland and active in the NPI registry since February 2007. The organization lists Andrea L Syphax, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689713638
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameRENAISSANCE MEDICAL GROUP,INC
Location Address525 EASTERN AVE STE B3Fairmount Heights, MD 20743-1677
Mailing AddressPo Box 2966Hyattsville, MD 20784-0966
Organization SubpartNo
Authorized OfficialAndrea L SyphaxAdministrator · (301) 925-2255
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1689713638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
525 EASTERN AVE STE B3, Fairmount Heights, MD 20743

Other Names 1

Other NameRenaissancetreatment Center

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

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
525 EASTERN AVE STE B3
FAIRMOUNT HEIGHTS, MD 20743
Clinic/Center (Mental Health (Including Community Mental Health Center))
525 EASTERN AVE STE B3
FAIRMOUNT HEIGHTS, MD 20743
Community/Behavioral Health
525 EASTERN AVE STE B3
FAIRMOUNT HEIGHTS, MD 20743

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 1689713638. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is also known as Renaissancetreatment Center.

Where is Renaissance Medical Group,inc located?

Renaissance Medical Group,inc is located at 525 Eastern Ave Ste B3, 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 Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Renaissance Medical Group,inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.