Regal Connections Telehealth

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REGAL CONNECTIONS TELEHEALTH

Practice address

1525 E 53Rd St Ste 422
Chicago, IL 60615-4530

Phone

(773) 331-4709

NPI assigned

Aug 22, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Faulkner, LCSWNPI 1922261163

Title

Vice President

Phone

(773) 331-4709

Specialties & licenses 1

Addresses

Other names 1

• Regal Connections Telehealth Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Faulkner, LCSW

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1922261163
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1043938384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SCOTT CRES",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221723",
            "telephone_number": "773-331-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 422",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154530",
            "telephone_number": "773-331-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL CONNECTIONS TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-331-4709",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regal Connections Telehealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reflective Therapy & Consulting PLLC
• Reflex PT
• Erika Marie Regacho, DNP, PMHNP-BC
• Paul Alpert C Regacho, MOT
• Regal Care Inc
• Cynthia Jasmine Regalado
• Jisela Regalado
• Lindsey May Regalado
• Luis Eduardo Regalado, MD, MSC
• Vanessa Regalado

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.