Individual provider Active NPI

Renate Wewerka, PH.D.

  • Forensic Psychologist
  • Santa Fe, NM
National Provider Identifier
1609082098
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
0806 Issued in NM
Practice address
3600 Cerrillos Rd
Suite 1001 B
Santa Fe, NM 87507-2612
Phone
(505) 470-3324
Fax
(505) 471-1701
NPI assigned
May 15, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0806 NM
Forensic Psychologist 103TF0200X 0806 NM Primary

Addresses

Primary practice location

3600 Cerrillos Rd
Suite 1001 B
Santa Fe, NM 87507-2612

Mailing address

2840 Plaza Amarilla
Santa Fe, NM 87507-6504
Phone (505) 470-3324

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0806NMMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Community Cares, LLC Clinical PastSince May 10, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609082098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 PLAZA AMARILLA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076504",
            "telephone_number": "505-470-3324",
            "fax_number": "505-471-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CERRILLOS RD",
            "address_2": "SUITE 1001 B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072612",
            "telephone_number": "505-470-3324",
            "fax_number": "505-471-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEWERKA",
        "first_name": "RENATE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "0806",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NM",
            "license": "0806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.