RENEW YOUR MIND
NPI 1851037394
Nurse Practitioner - Psychiatric/Mental Health in Waterbury, CT
About Renew Your Mind NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEW YOUR MIND (NPI 1851037394) is a healthcare organization registered as a psychiatric/mental health in Waterbury, Connecticut and active in the NPI registry since May 2022. The organization lists Shakeria C Brown, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renew Your Mind is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Renew Your Mind, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Renew Your Mind's NPI number?
The NPI number for Renew Your Mind is 1851037394. It was assigned to this organization in the NPPES registry on May 9, 2022.
Where is Renew Your Mind located?
Renew Your Mind is located at 21 W Main St, Waterbury, CT 06702. The listed phone number is (203) 415-8608.
What is Renew Your Mind's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Renew Your Mind enrolled in Medicare?
Yes. Renew Your Mind is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renew Your Mind?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Renew Your Mind. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Renew Your Mind was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Renew Your Mind · NPI 1851037394
Psychiatric/Mental Health organization in Waterbury, Connecticut. Organization record, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1851037394 (Entity type: Organization)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Shakeria Brown, OWNER
## Practice location
- **Address:** 21 W MAIN ST, Waterbury, CT 06702-2013
- **Phone:** (203) 415-8608
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1851037394) · Data from the CMS NPPES public registry.