Renew Psychology - Rehabilitation and Neuropsychology Services PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RENEW PSYCHOLOGY - REHABILITATION AND NEUROPSYCHOLOGY SERVICES PLLC

Practice address

10258 Baker Boy Dr
Ooltewah, TN 37363-5897

Phone

(423) 295-8335

Fax

(423) 295-9318

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By 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

Rebecca J Cicha, PH.D.NPI 1952787194

Title

Clinical Psychologist

Phone

(423) 295-8335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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.

• Rebecca Joyce Cicha, PH.D.

  • Rehabilitation Psychologist
  • Chattanooga, TN
  • NPI 1952787194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1588489454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10258 BAKER BOY DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635897",
            "telephone_number": "423-295-8335",
            "fax_number": "423-295-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 BAKER BOY DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635897",
            "telephone_number": "423-295-8335",
            "fax_number": "423-295-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PSYCHOLOGY - REHABILITATION AND NEUROPSYCHOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "CICHA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "423-295-8335",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Everett Rawlings
• Richard L Rawson, CRNA
• Nicole Elaine Reese, LMT
• Douglas Reeves, PT, DPT, ATC
• Rehabilitation Business Partners (Therapy Direct)
• Yolanda Rey-Bernal, RN
• William Duncan Rhoad V, DO
• River City Pharmacy Inc (River City Pharmacy)
• Bethzabe Rivero
• Austin Shaun Roberts, D.D.S.

• Psychologist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.