Renee A McArdle Sr., PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005330 Issued in IL

Practice address

4873 Manhattan Dr
Rockford, IL 61108-2265

Phone

(815) 965-1817

Fax

(815) 965-9574

NPI assigned

Nov 6, 2006

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

Other identifiers 1

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.

• Renee a McArdle Psy D & Rev Frank S Moyer P C

  • Clinical Psychologist
  • Rockford, IL
  • NPI 1518258904
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1730258898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4873 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-965-1817",
            "fax_number": "815-965-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-965-1817",
            "fax_number": "815-965-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARDLE",
        "first_name": "RENEE",
        "middle_name": "A",
        "name_suffix": "Sr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364361454",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Marguerite Mayes
• John C Maynard, MD
• Abdullah Mazher
• James S. McAdoo, DO
• Vickiesha N McAdory, LSW
• Sharon McAuliffe, PHARMD
• Michelle McCabeschafer, LMFT
• Joshua William McCain, M.D.
• Valerie M. McCannon, PA-C
• Donald E McCanse, M.D.

• Psychologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.