BRANDON JARED RENNIE


Address: 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851
Phone: 5052731213

BRANDON JARED RENNIE (NPI# 1205233640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205233640
Entity Type Individual
Full Name BRANDON JARED RENNIE
Credential ED.S., PLMHP
Practice Address 2300 Menaul Blvd Ne
Albuquerque
NM 87107-1851
Practice Telephone 5052731213
Practice Fax Number 5052723140
Mailing Telephone 5052731213
Mailing Fax Number 5052723140
Enumeration Date 2014-12-01
Last Update Date 2017-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
10409 NE Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 1462 NM Behavioral Health & Social Service Providers

Office Location

Street Address 2300 MENAUL BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87107-1851

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NPI Name Taxonomy Address Enumeration
1700876216 Pamela A Hanson Pediatrics 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 2005-10-26
1568933950 Unm Medical Group, Inc. In Home Supportive Care 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 2018-12-10
1265964183 Vanessa Trujillo Occupational Therapist 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 2017-03-30
1447602560 Janeth Nunez Del Prado Social Worker 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 2016-07-13
1083094114 Thomas Jack Boxall Speech-Language Pathologist 2300 Menaul Blvd Ne, Albuquerque, NM 87107 2015-06-03
1366854903 Shauntel Adams Social Worker 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 2014-06-02
1427475581 Unm Cdd Supports Intensity Scale Case Management 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 2014-03-26
1912336892 Joanna Cosbey Occupational Therapist 2300 Menaul Blvd Ne, Center for Development and Disability, Albuquerque, NM 87107 2013-11-01
1598108581 Damaris Donado Social Worker 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 2013-04-10
1780927913 Tekla Johnson Social Worker 2300 Menaul Blvd Ne, Cdd, Albuquerque, NM 87107-1851 2013-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589785 Benjamin Argant Behavior Technician 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 2020-08-20
1679138861 Susan Luna, Lpcc LLC Counselor 3221 B Candelaria Ne, Albuquerque, NM 87107 2019-05-03
1407310881 Eleanor Cloe Tibbetts Speech-Language Pathologist 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 2019-01-30
1386174829 Triple D Medical Transportation, LLC. Secured Medical Transport (VAN) 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 2017-06-18
1487100715 Kayleen Weinandt Community/Behavioral Health 3301 Los Arboles Ne, Albuquerque, NM 87107 2016-08-28
1811345549 Inverse Medical, LLC Non-emergency Medical Transport (VAN) 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 2016-06-03
1710349220 Evolv Strong, LLC Specialist/Technologist 3201 Candelaria Rd Ne, Albuquerque, NM 87107 2016-03-23
1982072443 Erik Robinson Social Worker 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 2015-09-14
1033505763 Sam Newmon Ma, Lpcc Counselor 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 2015-04-09
1760896203 Jocelyn Fiaschetti Social Worker 7704 4th Street Nw, Albuquerque, NM 87107 2014-06-12
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124637541 Behavioral Medicine and Assessment of New Mexico LLC Psychologist 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 2020-07-31
1194287649 Jennifer Nicole Crawford Psychologist Msc09 5030 1 Unm, Albuquerque, NM 87131 2019-04-03
1417425083 Meredith Lynn Faith Psychologist 11109 Elvin Ave Ne, Albuquerque, NM 87112-3231 2018-11-12
1942695903 Md24 Nm, Inc. Psychologist 6565 Americas Parkway Ne #200, Albuquerque, NM 87110 2015-04-06
1932507365 Reflections Psychological Services, LLC Psychologist 3939 San Pedro Dr Ne Bldg C8, Albuquerque, NM 87110-8901 2014-12-17
1457772147 Candyce Tart Psychologist 607 Richmond Dr Ne, Albuquerque, NM 87106-2148 2013-12-23
1043640493 Kristin Lichtle Psychologist 906 Franciscan St Ne, Albuquerque, NM 87102-2416 2013-11-22
1104160910 Mike Kim Psychologist 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM 87110 2012-11-16
1134473762 Joseph R Flippo Psychologist 2104 Rex Ct Ne, Albuquerque, NM 87112-3661 2012-11-05
1659638195 Elizabeth Ann-claire Sullivan Psychologist 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 2012-04-23
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Competitor

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City ALBUQUERQUE
Zip Code 87107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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