Regina Cavanaugh, M.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

J4031 Issued in TX

Legal business name

REGINA CAVANAUGH, M.D.

Practice address

775 Indian TRL
Harker Heights, TX 76548-7025

Phone

(254) 698-2216

Fax

(254) 698-2296

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Regina Kristine Cavanaugh, M.D., P.A.

Title

Owner

Phone

(254) 698-2216

Specialties & licenses 1

Addresses

Tax ID family

Regina Cavanaugh MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regina Cavanaugh, M.D., P.a.

  • Child & Adolescent Psychiatry Physician
  • Belton, TX
  • NPI 1881503720
  NPD tax ID

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053431429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 INDIAN TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487025",
            "telephone_number": "254-698-2216",
            "fax_number": "254-698-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 INDIAN TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487025",
            "telephone_number": "254-698-2216",
            "fax_number": "254-698-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA CAVANAUGH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-698-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "J4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.