Rena Conley, PH.D.
Individual provider Active NPI Clinical Psychologist · Wilton Manors, FL
NPI 1033324397 · NPPES record last updated May 20, 2020
Key facts
- NPI
- 1033324397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY4294 (FL)
- Practice address
- 1881 NE 26TH Street,
Suite 216
Wilton Manors, FL 33305-1400 - Phone
- (954) 727-9712
- Fax
- (954) 566-7671
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4294 | FL | Yes |
Addresses
Primary practice location
1881 NE 26TH Street,
Suite 216
Wilton Manors, FL 33305-1400
Mailing address
1881 NE 26TH Street,
Suite 216
Wilton Manors, FL 33305-1400
Phone (954) 727-9712
Other providers in Wilton Manors, FL
- Tommy Lee Cline
- Coastal Behavioral Health LLC
- Cogent Healthcare of Jacksonville, LLC
- Cogent Healthcare of Jacksonville, LLC
- Kimberlee A Coleman
- Glenda R Connolly
- Erin Copelan
- Christine A Cordes
- Daniel Cordova
- Sandy Corredera
All providers in Wilton Manors, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.