Individual provider Active NPI

Regina Perry Hausler, PH.D.

  • Clinical Psychologist
  • Belle Harbor, NY
National Provider Identifier
1386728699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6986 Issued in NY
Practice address
12512 Newport Ave
Belle Harbor, NY 11694-1713
Phone
(718) 474-0373
Fax
(718) 474-1636
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6986 NY Primary

Addresses

Primary practice location

12512 Newport Ave
Belle Harbor, NY 11694-1713

Mailing address

12512 Newport Ave
Belle Harbor, NY 11694-1713
Phone (718) 474-0373

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6986NYMDClinical Psychologist
006986NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386728699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 NEWPORT AVE",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941713",
            "telephone_number": "718-474-0373",
            "fax_number": "718-474-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 NEWPORT AVE",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941713",
            "telephone_number": "718-474-0373",
            "fax_number": "718-474-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSLER",
        "first_name": "REGINA",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.