Courtney M Rennicke, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017456 Issued in NY

Practice address

136 E 57TH St
Suite 1101
New York, NY 10022-2707

Phone

(212) 308-2440

NPI assigned

Dec 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Courtney Rennicke, PH.D. PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1558622928
  NPD Authorized official
• Dr Robert L Leahy Psychologist PC Dba American Institute for Cognitiv

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1134324106
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1083897383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST",
            "address_2": "SUITE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222707",
            "telephone_number": "212-308-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST",
            "address_2": "SUITE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222707",
            "telephone_number": "212-308-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNICKE",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "017456",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017456",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "017456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Rennell, LCSW
• Caleb William Renner, MD
• Carolyn P Renner
• Hanna Rennert, PH.D
• Rochel Rennert, BA/MS
• Elizabeth Rennie, CRNA
• Rachel Rennie, LCSW
• Madeline Renny, M.D.
• Leah Jean Reno Patterson, NP
• Nicki Melissa Reno-Welt, P.A.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.