SAMUEL B RENNEBOHM (NPI# 1790238814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790238814 |
| Entity Type | Individual |
| Full Name | SAMUEL B RENNEBOHM |
| Credential | PHD |
| Practice Address |
1401 Madison St Ste 100 Seattle WA 98104-1316 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2063866111 |
| Practice Fax Number | 2063866111 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY61016748 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1401 MADISON ST STE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093815102 | Sarah M Babineau | Family Medicine | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2006-09-25 |
| 1639707417 | Joanna Poceta | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2020-03-29 |
| 1801424726 | Catherine Son | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2020-03-27 |
| 1235766577 | Casey Marie Dyer Babcock | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2020-03-26 |
| 1467089961 | Alice Wei | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2020-03-25 |
| 1083241376 | Jasmine Elise Abraham | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2020-03-25 |
| 1124655709 | Amir Rezayat | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2020-03-24 |
| 1386271872 | Molly Alexandra Thayer | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2020-03-24 |
| 1982267050 | Amelia Gallaher | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2019-04-15 |
| 1750844742 | Heather A Stevens | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
| 1407495211 | Ellen A. Begley, Ph.d. Pllc | Psychologist | 3417 Fremont Ave N Ste 316, Seattle, WA 98103-3411 | 2019-12-26 |
| 1649735580 | Jennifer Savion | Psychologist | 2800 E Madison St Ste 306, Seattle, WA 98112-4865 | 2019-02-05 |
| 1073084935 | Ann Marie Roepke | Psychologist | 4741 Rainier Ave S, Seattle, WA 98118-1657 | 2018-12-17 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1144676842 | Alisa Horwitz | Psychologist | 2855 31st Ave W, Seattle, WA 98199-2722 | 2016-05-11 |
| 1982065611 | Sara Eagan | Psychologist | 2470 Westlake Ave N Ste 102, Seattle, WA 98109 | 2016-03-08 |
| 1679933899 | Yu Ding | Psychologist | 330 3rd Ave W, 520, Seattle, WA 98119-4180 | 2016-03-01 |
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| 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.