Regina Marie Hummel, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2314 Issued in TN

Practice address

2100 Clinch Avenue Suite 220
Knoxville, TN 37916-2298

Phone

(865) 343-6976

Fax

(877) 554-2891

NPI assigned

Jul 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1205834488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVENUE SUITE 220",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162298",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Clinch Avenue Suite 410",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37916",
            "country_code": "US",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379227713",
            "country_code": "US",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Winfield Dunn Parkway",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378765509",
            "country_code": "US",
            "telephone_number": "865-343-6976",
            "fax_number": "877-554-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "2314",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2314",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2314",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "2314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3680006",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Russell Humberd, MS LPC MHSP
• Stuart Robert Humberg, DC
• Humble Innovative Transportation LLC
• Celia Sue Hume, PH.D., CCC-SLP
• Kerry Humes
• Scott David Hummel
• Ceba L Humphrey, MD
• Christy Humphrey, NNP
• Clayton Devereau Humphrey, D.O.
• Elizabeth Lynn Humphrey, AUD., CCC-A

• Clinical Child & Adolescent Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.