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RACHELLE RENE PH.D. BCB HSM NPI 1629108188


NPI Information

NPI: 1629108188
Provider Name: RACHELLE RENE, PH.D., BCB, HSM
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
4656 30TH ST
SAN DIEGO, CA
ZIP 92116
Phone: (858) 412-9660
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Rachelle Rene, PH.D., BCB, HSM is a clinical psychologist in San Diego, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Rachelle Rene, PH.D., BCB, HSM NPI is 1629108188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4656 30TH ST
SAN DIEGO, CA
ZIP 92116-247
Phone: (858) 412-9660

The NPI 1629108188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 2/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP2701XPsychologistGroup PsychotherapyPSY23993CALIFORNIANo
2103TH0004XPsychologistHealthPSY23993CALIFORNIANo
3101YM0800XCounselorMental HealthNo
4103TC0700XPsychologistClinicalPSY23993CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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