Regina Dillingham Shillinglaw

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2759 Issued in NC

Practice address

88 Mdos/Sgohe/Mental Health
Wright Patterson Medical Center
Wright Patterson Afb, OH 45433

Phone

(937) 257-6876

Fax

(937) 656-1192

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regina Ruth Dillingham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1265542344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDOS/SGOHE/MENTAL HEALTH",
            "address_2": "WRIGHT PATTERSON MEDICAL CENTER",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-6876",
            "fax_number": "937-656-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MDOS/SGOHE/MENTAL HEALTH",
            "address_2": "WRIGHT PATTERSON MEDICAL CENTER",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-6876",
            "fax_number": "937-656-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLINGLAW",
        "first_name": "REGINA",
        "middle_name": "DILLINGHAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000351",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "DILLINGHAM",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Schwartz, MD
• Owen Scott, M.D.
• Matthew Philip Scully, IDMT
• Laura Marie Segovia, CNM
• Ridley S Shelby
• Robert Alan Shull, CCC-A
• Charles Anthony Shurlow, D.O.
• Shari Fox Silverman, MPT
• Tiffany Rene Simpson, D.O
• Devyn Skinner

• Psychologist in Wright Patterson Afb, OH
• Providers in Wright Patterson Afb, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.