Samuel B. Rennebohm, PHD
Clinical Psychologist · Seattle, WA
Samuel B. Rennebohm, PHD is a clinical psychologist with a practice address in Seattle, Washington, and NPI 1790238814, issued on Jul 25, 2016. Check the license (Washington PY61016748, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samuel B. Rennebohm
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- PY61016748 WA
Self-reported in NPPES; status is on the state search - Practice location
- 1401 Madison St Ste 100, Seattle, WA 98104
- Phone
- (206) 386-6111
- Enumerated
- Jul 25, 2016
- Record last updated
- Sep 30, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (206) 386-6111
- Medicare enrollment
- Enrolled (PECOS I20200826003711); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,675 in Washington → Look up another NPI →
Also registered at 1401 Madison St Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jasmine Abraham, MDFamily Medicine Physician1083241376
- Sarah Ayala, DOFamily Medicine Physician1568086114
- Sarah Babineau, MDGeriatric Medicine (Family Medicine) Physician1093815102
- Richard Breuner, MDFamily Medicine Physician1245301241
- Alicia Cantrell, M.D.Family Medicine Physician1457627259
- Jaime Carrillo, MDStudent in an Organized Health Care Education/Training Program1528649282
Verify Samuel B. Rennebohm in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PY61016748Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 82.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Swedish Health ServicesSeattle, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samuel B. Rennebohm among 1,675 clinical psychologist records in Washington
Samuel B. Rennebohm, PHD is one of 1,675 clinical psychologist records with a practice address in Washington. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 75% of them.
- NPI issued2016 · 75% of these records are older, 20% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated2019 · median 2009 among the 386 with a school on file
- Record last updated2020 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
594 clinical psychologist records list a practice address in Seattle
They are 594 of the 41,956 NPPES records with a practice address in Seattle, and 1,675 clinical psychologist records in Washington.
All 1,675 in Washington → Every provider in Seattle → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Charles BombardierSeattle, WA 981041457431355
- Jo BrockwaySeattle, WA 981041518043371
- Naomi Chaytor, PH.D.Seattle, WA 981041437235231
- Dawn EhdeSeattle, WA 981041407932262
- Janet Hopkins, PSYDSeattle, WA 981041407930126
- Tye Hunter, PH.D.Seattle, WA 981041427072313
- Mike Lee, PYSeattle, WA 981041255449302
- Barbara McCannSeattle, WA 981041144306994
Common questions
What is Samuel B. Rennebohm, PHD's NPI number?
Samuel B. Rennebohm, PHD's National Provider Identifier (NPI) is 1790238814, issued on Jul 25, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Samuel B. Rennebohm, PHD located?
The NPPES record lists a practice address at 1401 Madison St Ste 100, Seattle, WA, 98104. Phone: (206) 386-6111. Providers update this record themselves, so call before visiting.
How can I verify Samuel B. Rennebohm, PHD's license?
NPPES lists Washington license number PY61016748, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
What is Samuel B. Rennebohm, PHD's MIPS final score?
The 2023 MIPS final score is 82.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.