Active NPI
Ave Maria Renard, PSYD
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1447517651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1001222
- Practice address
- 1252 Talbert St SE
Washington, DC 20020-5222 - Phone
- (202) 236-5893
- NPI assigned
- Apr 12, 2012
- Last updated
- Apr 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4258 | NC | |
| Clinical Psychologist | 103TC0700X | PSY1001222 | DC | Primary |
Addresses
Primary practice location
1252 Talbert St SE
Washington, DC 20020-5222
Mailing address
1252 Talbert St SE
Washington, DC 20020-5222
Phone (202) 236-5893
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 |
|---|---|---|---|
| PSY1001222 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1447517651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 TALBERT ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205222",
"telephone_number": "202-236-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 TALBERT ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205222",
"telephone_number": "202-236-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENARD",
"first_name": "AVE MARIA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4258",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1001222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.