Renuka Ati Tanna, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32776 Issued in CA

Practice address

2237 Kelmscott CT
Westlake Village, CA 91361-3536

Phone

(732) 832-9604

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1669676540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOMERSET ST",
            "address_2": "SUITE 2111",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089014800",
            "telephone_number": "732-832-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 KELMSCOTT CT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613536",
            "telephone_number": "732-832-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNA",
        "first_name": "RENUKA",
        "middle_name": "ATI",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Tamburro, PSY.D.
• Eric Tamsut
• Kevin James Tan
• Krista Shalee Loomis Tan, PT
• Nesha Tandon, PHD, LMFT
• Tansavatdi Cosmetic & Reconstructive Surgery Inc
• Kristina Tansavatdi, M.D.
• Andrea Tapia
• Courtney Tarbox, BCBA
• Tamara Michelle Tasoff, DDS

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.