Individual provider Active NPI

Regan H King, PSY. D.

  • Clinical Psychologist
  • Chestertown, MD
National Provider Identifier
1295187102
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05728 Issued in MD
Practice address
315 High St
Ste 105
Chestertown, MD 21620-1307
Phone
(443) 480-8746
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 05728 MD Primary

Addresses

Primary practice location

315 High St
Ste 105
Chestertown, MD 21620-1307

Mailing address

315 High St
Ste 105
Chestertown, MD 21620-1307
Phone (443) 480-8746

Other practice location 1

4701 Ogletown Stanton Rd Ste 2200
Newark, DE 19713-7000
Phone (302) 623-4593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160808000644 MD Practitioner - Clinical Psychologist 5597059949 Practice locations: Chestertown, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 High St
Suite 105
Chestertown, MD 21620-1307
Phone (443) 480-8746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ananda Psychiatry and Wellness LLC Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 3

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1295187102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HIGH ST",
            "address_2": "STE 105",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201307",
            "telephone_number": "443-480-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HIGH ST",
            "address_2": "STE 105",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201307",
            "telephone_number": "443-480-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Ogletown Stanton Rd Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197137000",
            "country_code": "US",
            "telephone_number": "302-623-4593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "REGAN",
        "middle_name": "H",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.