Elena J Renken, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3981 Issued in CT

Practice address

392 Merrow Rd Ste E
Tolland, CT 06084-3974

Phone

(860) 830-7838

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• New England Ocd Institute, LLC

  • Marriage & Family Therapist
  • Tolland, CT
  • NPI 1063198117

  Multi-Specialty

  NPD
• Behavioral Wellness Clinic

  • Clinical Psychologist
  • Tolland, CT
  • NPI 1326351412
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1447845284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WINCHESTER AVE APT 7",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111978",
            "telephone_number": "406-223-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 MERROW RD STE E",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843974",
            "telephone_number": "860-830-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKEN",
        "first_name": "ELENA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcy Celeste Racicot, OTR/L
• Aaron Radden, LMFT
• Amy L Rapone, MS, RD, CDN
• RC Medical, Inc.
• Sara Reed, MS
• Rinaldi Neuropsychology LLC
• Lloyd Robichaux, PTA
• Robin Rosen
• Noelle Rochon, DPT
• Americo Rodrigues, PT

• Clinical Psychologist in Tolland, CT
• Providers in Tolland, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.