Renee a McArdle Psy D & Rev Frank S Moyer P C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005330 Issued in IL

Legal business name

RENEE A MCARDLE PSY D & REV FRANK S MOYER P C

Practice address

4873 Manhattan Dr
4873 Manhattan Drive
Rockford, IL 61108-2265

Phone

(815) 509-6445

Fax

(815) 965-9574

NPI assigned

Apr 20, 2011

Last updated

May 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Renee A McArdle, PSY. D.NPI 1730258898

Title

Licensed Clinical Psychologist

Phone

(815) 965-1817

Specialties & licenses 1

Addresses

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.

• Renee A McArdle Sr., PSY.D.

  • Psychologist
  • Rockford, IL
  • NPI 1730258898
  NPD (past) Authorized official

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1518258904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4873 MANHATTAN DR",
            "address_2": "4873 MANHATTAN DRIVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-509-6445",
            "fax_number": "815-965-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 MANHATTAN DR",
            "address_2": "4873 MANHATTAN DRIVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-509-6445",
            "fax_number": "815-965-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE A MCARDLE PSY D & REV FRANK S MOYER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "MCARDLE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-965-1817",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remedies Renewing Lives
• Kimberly Remedios-Smith, M.D.
• Renal Treatment Centers-Illinois Inc (Rockford Dialysis)
• Renal Treatment Centers-Illinois Inc. (Churchview Dialysis)
• Megan Renaud, AGPCNP
• Renest of Illinois Supr (reNEST)
• Renest Recovery Support Services of Illinois (reNEST Recovery Support Service Rockford LLC)
• Kendra Renfro, APRN, WHNP
• Renita Shores-Gaston (Resilience Counseling)
• William S Renk, MD

• Clinical Psychologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.