Provider Demographics
NPI:1639268634
Name:HILL, RENEE YVETTE (MD)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:YVETTE
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 HARTNELL ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2833
Mailing Address - Country:US
Mailing Address - Phone:831-625-4600
Mailing Address - Fax:831-920-2604
Practice Address - Street 1:576 HARTNELL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2833
Practice Address - Country:US
Practice Address - Phone:831-625-4600
Practice Address - Fax:831-920-2604
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010407552084P0805X
CAG885472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100147840AMedicaid
INE18377Medicare UPIN