Individual provider Active NPI

Regina Leigh Kuecks-Morgan, PH.D.

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1053471763
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00773 Issued in RI
Practice address
295 Angell St
Providence, RI 02906-2119
Phone
(401) 751-1005
Fax
(401) 751-1005
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS00773 RI Primary
Clinical Child & Adolescent Psychologist 103TC2200X PS00773 RI

Addresses

Primary practice location

295 Angell St
Providence, RI 02906-2119

Mailing address

32 Belair Ave
Providence, RI 02906-2411
Phone (401) 861-5085

Other identifiers 4

IdentifierTypeStateIssuer
26429-5OtherRIBLUE CROSS BLUE SHIELD
210158OtherRIUNITED BEHAVIORAL HEALTH
RK56885MedicaidRI
1040290OtherRIBEACON NEIGHBORHOOD HEALT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 15, 2025 through Mar 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS00773RIMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053471763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BELAIR AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062411",
            "telephone_number": "401-861-5085",
            "fax_number": "401-751-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062119",
            "telephone_number": "401-751-1005",
            "fax_number": "401-751-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUECKS-MORGAN",
        "first_name": "REGINA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00773",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "RI",
            "license": "PS00773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26429-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "210158",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RK56885",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON NEIGHBORHOOD HEALT",
            "identifier": "1040290",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.