RENEWAL PSYCHIATRY LLC
NPI 1790641413
Nurse Practitioner - Psychiatric/Mental Health in Milford, CT

Active since December 26, 2025
84 BROAD ST OFC 7, MILFORD, CT 06460(860) 809-3725(203) 902-7419 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renewal Psychiatry Llc NPPES

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

RENEWAL PSYCHIATRY LLC (NPI 1790641413) is a healthcare organization registered as a psychiatric/mental health in Milford, Connecticut and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Manasquan and lists Joseph Salvatore Impellizeri, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1790641413
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRENEWAL PSYCHIATRY LLC
Location Address84 BROAD ST OFC 7Milford, CT 06460-3383
Mailing Address84 Broad St Ofc 7Milford, CT 06460-3383 · (860) 809-3725 · Fax (203) 902-7419
Fax(203) 902-7419
Organization SubpartNo
Authorized OfficialJoseph Salvatore ImpellizeriNurse Practitioner · (860) 809-3725
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
NPI 1790641413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
84 BROAD ST OFC 7, Milford, CT 06460

Secondary Practice Location 1

Location 1200 Atlantic Ave Ste R3Manasquan, NJ 08736-1352 · Phone (860) 809-3725 · Fax (203) 902-7419

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

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

Social Worker (Clinical)
84 BROAD ST OFC 7
MILFORD, CT 06460

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 Renewal Psychiatry LLC's NPI number?

The NPI number for Renewal Psychiatry LLC is 1790641413. It was assigned to this organization in the NPPES registry on December 26, 2025.

Where is Renewal Psychiatry LLC located?

Renewal Psychiatry LLC is located at 84 Broad St Ofc 7, Milford, CT 06460. The listed phone number is (860) 809-3725.

What is Renewal Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Renewal Psychiatry LLC was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.