Active NPI
John Timothy O'Regan, PHD
- Clinical Psychologist
- Eagan, MN
National Provider Identifier
1376833756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- L1277
- Practice address
- 4159 Strawberry LN
Eagan, MN 55123-1429 - Phone
- (612) 810-5943
- NPI assigned
- Apr 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | L1277 | MN | Primary |
Addresses
Primary practice location
4159 Strawberry LN
Eagan, MN 55123-1429
Mailing address
4159 Strawberry LN
Eagan, MN 55123-1429
Phone (612) 810-5943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1277 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1376833756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4159 STRAWBERRY LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231429",
"telephone_number": "612-810-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4159 STRAWBERRY LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231429",
"telephone_number": "612-810-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'REGAN",
"first_name": "JOHN",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "L1277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
- Melissa Rae Nyberg, PT
- Judith Grindell Nylander, CD(DONA)
- Britt Erika Nystrombalfe, LICSW
- Kathryn A O'Hearn, PA-C
- Kathryn Kempe O'Morchoe, PA-C
- Occupational Health Centers of Minnesota PC
- Scarlett Heather Oconnell, MA, LPCC
- Kaitlyn Marie Oddo, FNP-C
- Melissa Odorzynski, PHARM.D., MPH
- Odyssey Programs LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.