Individual provider Active NPI

Rena Beth Zweben, PH.D.

  • Clinical Psychologist
  • Marietta, GA
National Provider Identifier
1013097989
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1153 Issued in GA
Practice address
2730 Brownridge CT
Marietta, GA 30062-2670
Phone
(678) 560-7755
Fax
(678) 560-9976
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Clinical Psychologist 103TC0700X 1153 GA Primary

Addresses

Primary practice location

2730 Brownridge CT
Marietta, GA 30062-2670

Mailing address

2730 Brownridge CT
Marietta, GA 30062-2670
Phone (678) 560-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000489 GA Practitioner - Clinical Psychologist 1658546262 Practice locations: Marietta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2730 Brownridge CT
Marietta, GA 30062-2670
Phone (679) 560-7755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1013097989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 BROWNRIDGE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622670",
            "telephone_number": "678-560-7755",
            "fax_number": "678-560-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 BROWNRIDGE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622670",
            "telephone_number": "678-560-7755",
            "fax_number": "678-560-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWEBEN",
        "first_name": "RENA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.