CHARLES RENICK (NPI# 1629470026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629470026 |
| Entity Type | Individual |
| Full Name | CHARLES RENICK |
| Practice Address |
2728 Durant Ave Berkeley CA 94704-1725 |
| Practice Telephone | 5108419230 |
| Mailing Telephone | 5108419230 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760592471 | Charles Ray Renick | Chiropractor | 4514 St Andrews Road, Columbia, SC 29210 | 2006-08-30 |
| Street Address |
2728 DURANT AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982829305 | Gilbert H Newman | Psychologist | 2728 Durant Ave, Berkeley, CA 94704 | 2007-04-13 |
| 1508473828 | Olga Komarov | Counselor | 2728 Durant Ave, Berkeley, CA 94704 | 2020-09-30 |
| 1285141960 | Rehana Raheem | Student in an Organized Health Care Education/Training Program | 2728 Durant Ave, Berkeley, CA 94704 | 2018-01-04 |
| 1073997565 | Tola Rissman | Marriage & Family Therapist | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2015-07-14 |
| 1568860153 | Alonzo Lamas | Student in an Organized Health Care Education/Training Program | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2014-12-12 |
| 1336546035 | Jared Gorfinkel | Counselor | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2014-11-24 |
| 1568868636 | Rose Evelyn Friedheim | Student in an Organized Health Care Education/Training Program | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2014-11-17 |
| 1336542463 | Anastasiya Smith | Student in an Organized Health Care Education/Training Program | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2014-10-03 |
| 1851793665 | Jordana Hazam-gamble | Student in an Organized Health Care Education/Training Program | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2014-09-24 |
| 1366844151 | Rachel Fader | Psychologist | 2728 Durant Ave, Berkeley, CA 94704-1725 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905814 | Adriana Costa | Student in an Organized Health Care Education/Training Program | 1936 Berryman St Apt B, Berkeley, CA 94709-1911 | 2020-09-06 |
| 1548871437 | Naomi Mae Wright | Student in an Organized Health Care Education/Training Program | 2461 Warring St Apt 211, Berkeley, CA 94704-2561 | 2020-08-13 |
| 1588291306 | Jake Loitz | Student in an Organized Health Care Education/Training Program | 1822 Francisco St Apt 22, Berkeley, CA 94703-1352 | 2020-03-23 |
| 1508417452 | Yvette Rico | Student in an Organized Health Care Education/Training Program | 1010 Grayson St Ste 3, Berkeley, CA 94710-2611 | 2019-09-23 |
| 1700443942 | Heather Marie Schrag | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # 94705, Berkeley, CA 94705-1117 | 2019-05-23 |
| 1720644388 | Shafai Marriam Zarabi | Student in an Organized Health Care Education/Training Program | 1940 Parker St, Berkeley, CA 94704-3207 | 2019-05-18 |
| 1780152876 | Isabel Unanue | Student in an Organized Health Care Education/Training Program | 1936 University Ave, Berkeley, CA 94704-1054 | 2018-11-06 |
| 1669957684 | Elizabeth Blieden | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # B, Berkeley, CA 94705-1117 | 2018-09-25 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| Find all providers in BERKELEY | ||||
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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.