Regenesys

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

268792-6004 Issued in UT

Legal business name

REGENESYS

Practice address

1429 S 550 E
#4
Orem, UT 84097-7793

Phone

(801) 410-1671

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Russell Gaede, PSYD, CMHC

Title

Director

Phone

(801) 410-1671

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1154714913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S 550 E",
            "address_2": "#4",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S 550 E",
            "address_2": "#4",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977793",
            "telephone_number": "801-410-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "GAEDE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-410-1671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, CMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "268792-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Carlan Reese, OD
• Zachary Kirk Reese, PA
• Rebecca H. Reeve
• Hannah Reeves
• Reframe Therapy, PLLC
• Paul B Reichert, CRNA
• James C Reichman, DPT
• Jeremy Reid
• Michael Udall Reid, DDS
• Renaissance Ranch Outpatient Treatment

• Community/Behavioral Health Agency in Orem, UT
• Providers in Orem, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.