Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renaissance Primary Care, LLC

Organization Mental Health Counselor · NPI 1649729021

Renaissance Primary Care, LLC is a Mental Health Counselor in Southbridge, Massachusetts. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11-15 Sandersdale Rd
Southbridge, MA 01550
Phone: (774) 420-2311
Fax: (508) 519-0763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 112 Westfield St, West Springfield, MA 01089-2577 — (774) 340-8791

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Psychiatry Physician Taxonomy 2084P0800X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1649729021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Manuel — Psychologist · (774) 420-2311
NPI enumeratedSeptember 27, 2016
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address11-15 Sandersdale Road, Southbridge, MA 01550

Other providers in Southbridge