Eric Lee Rennacker, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84379

Practice address

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873

Phone

(760) 322-7111

NPI assigned

Oct 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Palm Springs Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, CA
  • NPI 1285992438
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1215570239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S CAMINO REAL",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922649290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69730 HIGHWAY 111 STE 109",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702873",
            "telephone_number": "760-322-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Camino Real",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922649290",
            "country_code": "US",
            "telephone_number": "760-459-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNACKER",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "84379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Partners PC
• Samathha Reddy, M.D.
• Rehabilitation and Performance Medicine Consulting PLLC
• Rehabilitation Hospital of Southern California LLC
• Abdul Rehman, MBBS
• Aaron Gabriel Enrique Reyes
• Alexandra Reyes, FNP
• Carlo Reyes, FNP
• Don Leo Reyes, MD
• Jannett Reyes, M.S., BCBA

• All providers in Rancho Mirage, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.