Mind Renewed Psychiatry LLC
NPI 1659115996 · Psychiatric/Mental Health Nurse Practitioner · Clinton, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mind Renewed Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Clinton, MD (NPI 1659115996).
Provider details
- NPI number
- 1659115996
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Daguse Donacin, Nurse Practitoner(202) 800-8919
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 14137 Honey Hill CtCentreville, VA 20121-2655Phone: (754) 246-9552
Registry dates
- Enumerated
- 2024-06-21
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Frequently asked questions
- What is Mind Renewed Psychiatry LLC's NPI number?
- Mind Renewed Psychiatry LLC's National Provider Identifier (NPI) is 1659115996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Renewed Psychiatry LLC?
- Mind Renewed Psychiatry LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mind Renewed Psychiatry LLC located?
- Mind Renewed Psychiatry LLC's practice location on file with NPPES is 9015 Woodyard Rd Ste 202, Clinton, MD 20735-4209.
- What is Mind Renewed Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Renewed Psychiatry LLC is (202) 800-8919.
- Does Mind Renewed Psychiatry LLC accept Medicare?
- Mind Renewed Psychiatry LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mind Renewed Psychiatry LLC?
- The authorized official listed on Mind Renewed Psychiatry LLC's NPPES record is Daguse Donacin, Nurse Practitoner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Renewed Psychiatry LLC's NPI active?
- Yes — Mind Renewed Psychiatry LLC's NPI (1659115996) is active in the NPPES registry as of the last update on 2025-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.