Organization Active NPI

Ren Psychological Services, PLLC

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1265988919
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37400 Issued in TX
Legal business name
REN PSYCHOLOGICAL SERVICES, PLLC
Practice address
2520 Longview St Ste 410
Austin, TX 78705-4257
Phone
(512) 588-2426
NPI assigned
Aug 31, 2016
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Dr. Han Ren, PH.D.NPI 1124572342
Title
Owner
Phone
(512) 588-2426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 37400 TX Primary

Addresses

Primary practice location

2520 Longview St Ste 410
Austin, TX 78705-4257

Mailing address

2520 Longview St Ste 410
Austin, TX 78705-4257

National Provider Directory

National Provider Directory

Locations

1907 N Lamar Blvd
Ste 230
Austin, TX 78705
Phone (512) 593-1655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1265988919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 LONGVIEW ST STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 LONGVIEW ST STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054257",
            "telephone_number": "512-588-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REN PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "REN",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-588-2426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.