Individual provider Active NPI

Regine Anna Seckinger, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1396715082
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016528 Issued in NY
Practice address
7 W 30TH St FL 11
New York, NY 10001-4406
Phone
(646) 528-8988
Fax
(646) 969-0884
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 016528 NY Primary

Addresses

Primary practice location

7 W 30TH St FL 11
New York, NY 10001-4406

Mailing address

7 W 30TH St FL 11
New York, NY 10001-4406
Phone (646) 528-8988

Other practice location 1

3670 Main St.
Stone Ridge, NY 12484
Phone (646) 528-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060109001116 NY Practitioner - Clinical Psychologist 2365465002 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 W 30TH St
New York, NY 10001-4406
Phone (646) 528-8988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1396715082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 30TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014406",
            "telephone_number": "646-528-8988",
            "fax_number": "646-969-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 30TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014406",
            "telephone_number": "646-528-8988",
            "fax_number": "646-969-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3670 Main St.",
            "address_purpose": "LOCATION",
            "city": "Stone Ridge",
            "state": "NY",
            "postal_code": "12484",
            "country_code": "US",
            "telephone_number": "646-528-8988",
            "fax_number": "646-969-0884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECKINGER",
        "first_name": "REGINE ANNA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.