Kirsten Rene, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

11511 Issued in MA

Practice address

107 Discovery Bay CT
Sequim, WA 98382-9364

Phone

(617) 209-9927

NPI assigned

Sep 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Rene Psychology, PLLC

  • Psychologist
  • Sequim, WA
  • NPI 1568331239
  NPD Authorized official

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1992252175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DISCOVERY BAY CT",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983829364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DISCOVERY BAY CT",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983829364",
            "telephone_number": "617-209-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENE",
        "first_name": "KIRSTEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY.61263162",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Redlin, M.D.
• Gloria J. Redmond, ARNP
• Wendy K Reeves, RN LMP
• Samantha F Reiter, MD
• Rene Psychology, PLLC
• Rheumatology Medicine
• Richard E. Davies D.D.S., P.S.
• Emily Richards, OD
• Jennifer Richards, LCO
• Anthony Earl Richardson, CPHT

• Psychologist in Sequim, WA
• Providers in Sequim, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.