Active NPI
Renee Marquett, PH.D., M.B.A.
- Psychologist
- San Jose, CA
National Provider Identifier
1831626274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY27718
- Practice address
- 725 E Santa Clara St
San Jose, CA 95112-1900 - Phone
- (408) 974-0692
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY27718 | CA | Primary |
Addresses
Primary practice location
725 E Santa Clara St
San Jose, CA 95112-1900
Mailing address
725 E Santa Clara St
San Jose, CA 95112-1900
Phone (408) 974-0692
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)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27718 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831626274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E SANTA CLARA ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951121900",
"telephone_number": "408-974-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E SANTA CLARA ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951121900",
"telephone_number": "408-974-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUETT",
"first_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PH.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY27718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.