Active NPI
Terralyn N. Renfro, PSY.D.
- Clinical Psychologist
- Vacaville, CA
National Provider Identifier
1164632535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 18083
- Practice address
- 479 Mason St
Suite 317B
Vacaville, CA 95688-4540 - Phone
- (707) 235-8583
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 18083 | CA | Primary |
Addresses
Primary practice location
479 Mason St
Suite 317B
Vacaville, CA 95688-4540
Mailing address
PO Box 816
Vacaville, CA 95696-0816
Phone (707) 235-8583
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18083 | CA | MD | Clinical Psychologist |
| 18083 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408233600000",
"number": "1164632535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 816",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956960816",
"telephone_number": "707-235-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 MASON ST",
"address_2": "SUITE 317B",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884540",
"telephone_number": "707-235-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFRO",
"first_name": "TERRALYN",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2014-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.