CHARLES RENICK
NPI 1629470026
Psychologist in Juneau, AK

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
3406 GLACIER HWY, JUNEAU, AK 99801(907) 463-3303 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Renick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES RENICK (NPI 1629470026) is an individual psychologist in Juneau, Alaska and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629470026
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameCHARLES RENICK
Location Address3406 GLACIER HWYJuneau, AK 99801-7251
Mailing Address3406 Glacier HwyJuneau, AK 99801-7251 · (907) 463-3303
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 17, 2014
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1629470026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
3406 GLACIER HWY, Juneau, AK 99801

Secondary Practice Location 1

Location 12728 Durant AveBerkeley, CA 94704-1725 · Phone (510) 841-9230

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles Renick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557803749
PECOS Enrollment IDI20240603003534
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
3406 GLACIER HWY
JUNEAU, AK 99801
Case Manager/Care Coordinator
3406 GLACIER HWY
JUNEAU, AK 99801
Social Worker (Clinical)
3406 GLACIER HWY
JUNEAU, AK 99801
Case Manager/Care Coordinator
3406 GLACIER HWY
JUNEAU, AK 99801
Counselor
3406 GLACIER HWY
JUNEAU, AK 99801
Counselor
3406 GLACIER HWY
JUNEAU, AK 99801
Case Manager/Care Coordinator
3406 GLACIER HWY
JUNEAU, AK 99801
Counselor
3406 GLACIER HWY
JUNEAU, AK 99801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Renick's NPI number?

The NPI number for Charles Renick is 1629470026. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Charles Renick located?

Charles Renick practices at 3406 Glacier Hwy, Juneau, AK 99801. The listed phone number is (907) 463-3303.

What is Charles Renick's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Charles Renick enrolled in Medicare?

Yes. Charles Renick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charles Renick was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.