Organization Active NPI

Regina M Carney MD PA

  • Psychiatry Physician
  • Fort Lauderdale, FL
National Provider Identifier
1366267213
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
REGINA M CARNEY MD PA
Practice address
2677 NW 19TH St
Fort Lauderdale, FL 33311-3340
Phone
(954) 324-4255
Fax
(954) 212-2227
NPI assigned
Nov 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Authorized official

Name
Dr. Regina M Carney, MDNPI 1396949871
Title
President
Phone
(754) 704-6183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2677 NW 19TH St
Fort Lauderdale, FL 33311-3340

Mailing address

7027 W Broward Blvd Ste 768
Plantation, FL 33317-2208
Phone (754) 704-6183

National Provider Directory

National Provider Directory

Locations

2677 NW 19th St
Ft Lauderdale, FL 33311
Phone (954) 324-4255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1366267213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 W BROWARD BLVD STE 768",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172208",
            "telephone_number": "754-704-6183",
            "fax_number": "615-235-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 NW 19TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333113340",
            "telephone_number": "954-324-4255",
            "fax_number": "954-212-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA M CARNEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-704-6183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.