Individual provider Active NPI

Renee J Talmon, M.F.A., PSY.D.

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1114126323
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25515 Issued in CA
Practice address
1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139
Phone
(510) 841-8484
Fax
(510) 540-1707
NPI assigned
Jul 17, 2007
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25515 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY25515 CA

Addresses

Primary practice location

1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139

Mailing address

1749 Martin Luther King Jr. Way
Berkeley, CA 94709
Phone (510) 841-8484

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)
Enrolled
Credentials
Master of Fine Arts

State licenses

LicenseStateTypeSpecialty
PSY25515CAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1114126323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 MARTIN LUTHER KING JR. WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94709",
            "telephone_number": "510-841-8484",
            "fax_number": "510-540-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 MARTIN LUTHER KING JR WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092139",
            "telephone_number": "510-841-8484",
            "fax_number": "510-540-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMON",
        "first_name": "RENEE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.F.A., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25515",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.