Renewed Community Mental Health
NPI 1912736026 · Psychiatry Physician · Anaheim, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renewed Community Mental Health is a Psychiatry Physician organization in Anaheim, CA (NPI 1912736026).
Provider details
- NPI number
- 1912736026
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jackson Tea, Cfo(626) 429-0088
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
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
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
- 2024-07-29
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Frequently asked questions
- What is Renewed Community Mental Health's NPI number?
- Renewed Community Mental Health's National Provider Identifier (NPI) is 1912736026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewed Community Mental Health?
- Renewed Community Mental Health is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Renewed Community Mental Health located?
- Renewed Community Mental Health's practice location on file with NPPES is 520 N Brookhurst St Ste 120, Anaheim, CA 92801-5233.
- What is Renewed Community Mental Health's phone number?
- The practice phone number listed in the NPPES registry for Renewed Community Mental Health is (714) 333-3559.
- Does Renewed Community Mental Health accept Medicare?
- Renewed Community Mental Health 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 Renewed Community Mental Health?
- The authorized official listed on Renewed Community Mental Health's NPPES record is Jackson Tea, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewed Community Mental Health's NPI active?
- Yes — Renewed Community Mental Health's NPI (1912736026) is active in the NPPES registry as of the last update on 2024-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.