Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel B Rennebohm, PHD

Individual provider Clinical Psychologist · NPI 1790238814

Samuel B Rennebohm, PHD is a Clinical Psychologist in Seattle, Washington. Qualified in 2019, 7 years ago. Practices with Swedish Health Services, a 1,045-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1401 Madison St Ste 100
Seattle, WA 98104-1316
Phone: (206) 386-6111
Fax: (206) 386-6111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY61016748 (WA)

Record details

NPI number1790238814
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 25, 2016
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Swedish Health Services — 1045 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Seattle