Renewal Psychiatry LLC
Nurse Practitioner, Psych/Mental Health in Milford, Connecticut
1790641413- Practice location
- 84 Broad St Ofc 7, Milford, CT 06460-3383
- Phone
- 860-809-3725
- Fax
- 203-902-7419
- Last updated
- December 26, 2025
Renewal Psychiatry LLC is a healthcare organization based in Milford, CT. Renewal Psychiatry LLC practices in Milford, CT. The NPI Number for Renewal Psychiatry LLC is 1790641413. The current practice location address for Renewal Psychiatry LLC is 84 Broad St Ofc 7, Milford, CT 06460-3383 and can be reached out via phone at 860-809-3725 and via fax at 203-902-7419.
Provider Profile Details
- NPI Number
- 1790641413
- Provider Name
- Renewal Psychiatry LLC
- Provider Entity Type
- Organization
- Address
- 84 Broad St Ofc 7, Milford, CT 06460-3383
- Phone Number
- 860-809-3725
- Fax Number
- 203-902-7419
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Joseph Salvatore Impellizeri, APRN, PMHNP · Nurse Practitioner · 860-809-3725
- Provider Enumeration Date
- December 26, 2025
- Last Update Date
- December 26, 2025
- Certification Date
- December 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 84 Broad St Ofc 7
Milford, CT 06460-3383 - City
- Milford
- State
- Connecticut
- Zip
- 06460-3383
- Phone Number
- 860-809-3725
- Fax Number
- 203-902-7419
Provider Business Mailing Address Details
- Address
- 84 Broad St Ofc 7
Milford, CT 06460-3383 - City
- Milford
- State
- CT
- Zip
- 06460-3383
- Phone Number
- 860-809-3725
- Fax Number
- 203-902-7419
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Renewal Psychiatry LLC?
The NPI number of Renewal Psychiatry LLC is 1790641413. It was assigned on December 26, 2025 and is currently active in the NPPES registry.
What is the specialty of Renewal Psychiatry LLC?
Renewal Psychiatry LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Renewal Psychiatry LLC practice?
The practice location is 84 Broad St Ofc 7, Milford, CT 06460-3383. The office can be reached at 860-809-3725 (phone) or 203-902-7419 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790641413 directly on the NPPES registry website.