Renew Restore Revise Psychiatric Services, LLC
NPI 1891516324 · Psychiatry Physician · Palm Coast, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renew Restore Revise Psychiatric Services, LLC is a Psychiatry Physician organization in Palm Coast, FL (NPI 1891516324).
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
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
Mailing address
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Frequently asked questions
- What is Renew Restore Revise Psychiatric Services, LLC's NPI number?
- Renew Restore Revise Psychiatric Services, LLC's National Provider Identifier (NPI) is 1891516324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Restore Revise Psychiatric Services, LLC?
- Renew Restore Revise Psychiatric Services, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Renew Restore Revise Psychiatric Services, LLC located?
- Renew Restore Revise Psychiatric Services, LLC's practice location on file with NPPES is 25 Florida Park Dr N Ste E, Palm Coast, FL 32137-3806.
- What is Renew Restore Revise Psychiatric Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Renew Restore Revise Psychiatric Services, LLC is (386) 585-2144.
- Does Renew Restore Revise Psychiatric Services, LLC accept Medicare?
- Renew Restore Revise Psychiatric Services, 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 Renew Restore Revise Psychiatric Services, LLC?
- The authorized official listed on Renew Restore Revise Psychiatric Services, LLC's NPPES record is Shinika Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Restore Revise Psychiatric Services, LLC's NPI active?
- Yes — Renew Restore Revise Psychiatric Services, LLC's NPI (1891516324) is active in the NPPES registry as of the last update on 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.