Individual provider Active NPI

Regina Dispenziere, PSYD

  • Clinical Psychologist
  • Princeton, NJ
National Provider Identifier
1083395222
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00721200 Issued in NJ
Practice address
601 Ewing St Ste C2
Princeton, NJ 08540-2756
Phone
(856) 220-9672
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00721200 NJ Primary

Addresses

Primary practice location

601 Ewing St Ste C2
Princeton, NJ 08540-2756

Mailing address

21 Dogwood Dr
Middlesex, NJ 08846-1402
Phone (732) 271-1092

Other practice location 1

1930 Marlton Pike E Ste R91
Cherry Hill, NJ 08003-4207
Phone (856) 220-9672 ext. 138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 22, 2025 through Jul 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35SI00721200NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Emotional Health of Greater Philadelphia, LLC Clinical PastSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1083395222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DOGWOOD DR",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461402",
            "telephone_number": "732-271-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE C2",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402756",
            "telephone_number": "856-220-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Marlton Pike E Ste R91",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080034207",
            "country_code": "US",
            "telephone_number": "856-220-9672 x138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISPENZIERE",
        "first_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00721200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.