Marcia Jella' Rennie, PHD, a Psychological Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22214 Issued in CA

Legal business name

MARCIA JELLA' RENNIE, PHD, A PSYCHOLOGICAL CORP

Practice address

825 Zion St
Nevada City, CA 95959-2922

Phone

(530) 265-2199

Fax

(530) 265-2619

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Marcia J Rennie, PHDNPI 1750527222

Title

President

Phone

(530) 265-2199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcia Jella' Rennie, PHD

  • Clinical Psychologist
  • Nevada City, CA
  • NPI 1750527222
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1336376748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592922",
            "telephone_number": "530-265-2199",
            "fax_number": "530-265-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592922",
            "telephone_number": "530-265-2199",
            "fax_number": "530-265-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA JELLA' RENNIE, PHD, A PSYCHOLOGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "RENNIE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-265-2199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Anne Mais
• Keith Malley, MFT
• Lisa Mandelbaum, L.AC, DIPL. OM
• Checotah Mansell
• Kari Marie Manyak
• Vanessa N Marconi
• Mariposa Birth Center
• Mark J. Hagele, DDS Inc.
• Mark J. Hagele, DDS, Inc.
• Chris Marquez

• Clinical Psychologist in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.