Active NPI
Aline Renauld, PSYD
- Clinical Psychologist
- Emeryville, CA
National Provider Identifier
1407588999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94026026
- Practice address
- 1335 Stanford Ave
Emeryville, CA 94608-2536 - Phone
- (510) 647-5101
- NPI assigned
- Jun 24, 2022
- Last updated
- Jun 24, 2022
- 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 | PSB94026026 | CA | Primary |
Addresses
Primary practice location
1335 Stanford Ave
Emeryville, CA 94608-2536
Mailing address
10439 Royal Oak Rd
Oakland, CA 94605-5041
Phone (415) 802-8212
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94026026 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Surgery Center | Current | Accepting new patients | |
| Pain and Rehabilitative Consultants Medical Group | Current | Accepting new patients |
Locations
1335 Stanford Ave
Emeryville, CA 94608
Phone (510) 649-7000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Emeryville, CA
- NPI 1952466963
-
- Ambulatory Surgical Clinic/Center
- Manteca, CA
- NPI 1013633163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1407588999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10439 ROYAL OAK RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946055041",
"telephone_number": "415-802-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 STANFORD AVE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082536",
"telephone_number": "510-647-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENAULD",
"first_name": "ALINE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94026026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.