M. Suzanne Renna, ED.D., MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

664 Issued in MA

Practice address

1105 Massachusetts Ave
Suite 2B
Cambridge, MA 02138-5220

Phone

(617) 645-7688

NPI assigned

Jan 18, 2011

Last updated

Jan 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1841595154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WINTHROP ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024652309",
            "telephone_number": "617-965-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE",
            "address_2": "SUITE 2B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385220",
            "telephone_number": "617-645-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNA",
        "first_name": "M. SUZANNE",
        "credential": "ED.D., MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relationall Psychotherapy PLLC
• Relief Recovery Center, LLC
• Daphney Remy
• Peterson Remy, FNP-BC
• Christopher Renfrow
• Carol Norris Renneburg, MD
• Allison Rense, DPT
• Yisshelen Renteria Salazar
• Reservoir Medical Associates, P.C.
• Rethink Minds LLC

• Mental Health Counselor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.