Active NPI
Michele R Renchner
- Clinical Psychologist
- Mount Vernon, NY
National Provider Identifier
1639239361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009237-1
- Practice address
- 22 Alameda PL
Mount Vernon, NY 10552-1201 - Phone
- (914) 665-2999
- Fax
- (914) 665-2999
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | SI 02150 | NJ | |
| Clinical Psychologist | 103TC0700X | 009237-1 | NY | Primary |
Addresses
Primary practice location
22 Alameda PL
Mount Vernon, NY 10552-1201
Mailing address
22 Alameda PL
Mount Vernon, NY 10552-1201
Phone (914) 665-2999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081110000842 | NY | Practitioner - Clinical Psychologist | 9931268620 | Practice locations: Mount Vernon, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
22 Alameda PL
Mount Vernon, NY 10552-1201
Phone (914) 665-2999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 02150 | NJ | MD | Clinical Psychologist |
| 009237-1 | NY | MD | Speech-Language Pathologist |
| 009237 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1639239361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ALAMEDA PL",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521201",
"telephone_number": "914-665-2999",
"fax_number": "914-665-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ALAMEDA PL",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105521201",
"telephone_number": "914-665-2999",
"fax_number": "914-665-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENCHNER",
"first_name": "MICHELE",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "SI 02150",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009237-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.