Individual provider Active NPI

Eddy Regnier, PH.D.

  • Family Psychologist
  • Sarasota, FL
National Provider Identifier
1083625263
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
PY4639 Issued in FL
Practice address
2155 Main St
Sarasota, FL 34237-6023
Phone
(941) 365-2962
Fax
(941) 952-9705
NPI assigned
Aug 11, 2006
Sex
Male
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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PY4639 FL
Clinical Psychologist 103TC0700X PY4639 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY4639 FL
Family Psychologist 103TF0000X PY4639 FL Primary

Addresses

Primary practice location

2155 Main St
Sarasota, FL 34237-6023

Mailing address

2155 Main St
Sarasota, FL 34237-6023
Phone (941) 365-2962

Other identifiers 3

IdentifierTypeStateIssuer
275685OtherFLMHN INSURANCE
18462OtherFLCIGNA INSURANCE
73964OtherFLBCBS INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000275 FL Practitioner - Clinical Psychologist 5991963258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Boston University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2155 Main St
Sarasota, FL 34237-6023
Phone (941) 365-2962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY4639FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment and Psychotherapy Services, Inc Clinical CurrentSince Dec 16, 1991 Accepting new patients
Wendy Jacobs, JD, PHD, PA Clinical PastSince Dec 16, 1991 Accepting new patients

Locations

2155 Main St
Sarasota, FL 34237
Phone (941) 365-2962

Organizations & group practices 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083625263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 MAIN ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376023",
            "telephone_number": "941-365-2962",
            "fax_number": "941-952-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 MAIN ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376023",
            "telephone_number": "941-365-2962",
            "fax_number": "941-952-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGNIER",
        "first_name": "EDDY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "PY4639",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4639",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY4639",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY4639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN INSURANCE",
            "identifier": "275685",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "18462",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "73964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.