Renee Fahs, PH.D.
NPI 1619173028ActiveIndividual· Psychologist, Clinical· Cupertino, CA
Psychologist, Clinical (PH.D.) with Permanente Medical Group Inc, practicing in Cupertino, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1619173028 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jun 22, 2007 |
| Last updated in NPPES | Jan 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY#20993 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
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