Rachelle Rene, PHD, BCB, HSM is a
Psychologist - Clinical based in San Diego, California. Rachelle Rene is licensed to practice in California (license number PSY23993) and her current practice location is
4656 30th St, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 412-9660.
NPI number for Rachelle Rene is 1629108188 and her current mailing address is P.o. Box 16259, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629108188.
Healthcare Provider's Profile
| Full Name | Rachelle Rene |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 4656 30th St, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629108188
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 02/16/2011
Medical Identifiers
Medical identifiers for Rachelle Rene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629108188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY23993 (California) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | PSY23993 (California) | Secondary |
| 103TH0004X | Psychologist - Health | PSY23993 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rachelle Rene is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rachelle Rene, PHD, BCB, HSM
P.o. Box 16259,
San Diego, CA 92176
Ph: (858) 412-9660 | Rachelle Rene, PHD, BCB, HSM
4656 30th St,
San Diego, CA 92116-3247
Ph: (858) 412-9660 |
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