OrganizationActive
Family Renewed, LLC
NPI 1225404551 · Child & Adolescent Psychiatry Physician · Caseyville, IL
Provider details
- NPI number
- 1225404551
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dawn Porter, Founder/Ceo(913) 461-0369
- License
- 113680 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1004 Pebble Beach Dr
Caseyville, IL 62232-2834
Phone: (913) 461-0369
Fax: (913) 461-0832
Street-level locationGet directions
Mailing address
1004 Pebble Beach Dr
Caseyville, IL 62232-2834
Other names (DBA / former)
- Doing business as
- Dawn M. Porter, MD
Registry dates
- Enumerated
- 2015-08-21
- Last updated
- 2015-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.