OrganizationActive
Renew Restore Revise Psychiatric Services, LLC
NPI 1891516324 · Psychiatry Physician · Palm Coast, FL
Provider details
- NPI number
- 1891516324
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shinika Clark, Owner(386) 585-2144
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
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
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
25 Florida Park Dr N Ste E
Palm Coast, FL 32137-3806
Phone: (386) 585-2144
Fax: (386) 206-5386
Street-level locationGet directions
Mailing address
Po Box 45
St Augustine, FL 32085-0045
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.