Active NPI
Alexander Wenzel Renelt, PHD
- Psychologist
- Columbia, SC
National Provider Identifier
1558627505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 4500 Stuart St
Department of Behavioral Health
Columbia, SC 29207-5700 - Phone
- (803) 751-2513
- Fax
- (803) 751-7811
- NPI assigned
- Apr 4, 2012
- Last updated
- Feb 3, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
4500 Stuart St
Department of Behavioral Health
Columbia, SC 29207-5700
Mailing address
300 East Hospital Road
Department of Behavioral Health
Fort Gordon, GA 30905
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1558627505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 EAST HOSPITAL ROAD",
"address_2": "DEPARTMENT OF BEHAVIORAL HEALTH",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 STUART ST",
"address_2": "DEPARTMENT OF BEHAVIORAL HEALTH",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "803-751-2513",
"fax_number": "803-751-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENELT",
"first_name": "ALEXANDER",
"middle_name": "WENZEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Relymd Medical Group SC, LLC (RelyMD Medical Group)
- Jewel K,M Rembert, LPC
- Kristin Lynn Remke Clary, D.O.
- Remnant Counseling Center L.L.C. (The Champion Therapist Center L.L.C.)
- Remnant Counseling Center L.L.C. (The Champion Center L.LC.)
- Renew Counseling Services LLC
- Renewed Vision Counseling & Consultants LLC
- Renewing Hope Home Care LLC
- Leila May Renfroe, OTR/L
- Charles Ray Renick, DC MST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.