Individual provider Active NPI

Helen R Resneck-Sannes, PH.D.

  • Clinical Psychologist
  • Santa Cruz, CA
National Provider Identifier
1083636146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 4723 Issued in CA
Practice address
216 Suburbia Ave
Santa Cruz, CA 95062-1252
Phone
(831) 426-2768
Fax
(831) 426-1157
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 4723 CA Primary

Addresses

Primary practice location

216 Suburbia Ave
Santa Cruz, CA 95062-1252

Mailing address

216 Suburbia Ave
Santa Cruz, CA 95062-1252
Phone (831) 426-2768

Other identifiers 1

IdentifierTypeStateIssuer
PSY4723OtherCAPSYCHOLOGY LICENSE

Other names 1

  • Dr. Helen Resneck Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 4723CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083636146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SUBURBIA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621252",
            "telephone_number": "831-426-2768",
            "fax_number": "831-426-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SUBURBIA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621252",
            "telephone_number": "831-426-2768",
            "fax_number": "831-426-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNECK-SANNES",
        "first_name": "HELEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 4723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY4723",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "RESNECK",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.