Individual provider Active NPI

Regan Lester-Rodriguez, PHD

  • Psychologist
  • West Lake Hills, TX
National Provider Identifier
1396841714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
26884 Issued in TX
Practice address
3530 Bee Cave Rd
Suite 110
West Lake Hills, TX 78746-5391
Phone
(512) 329-0881
Fax
(512) 329-0876
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Psychologist 103T00000X 26884 TX Primary

Addresses

Primary practice location

3530 Bee Cave Rd
Suite 110
West Lake Hills, TX 78746-5391

Mailing address

PO Box 163446
Austin, TX 78716-3446
Phone (512) 329-0881

Other identifiers 2

IdentifierTypeStateIssuer
0092NTOtherTXBC / BS NUMBER
7487002OtherTXAETNA NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
26884TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regan Lester- Rodriguez, PHD, PC Psychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396841714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163446",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787163446",
            "telephone_number": "512-329-0881",
            "fax_number": "512-329-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 BEE CAVE RD",
            "address_2": "SUITE 110",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465391",
            "telephone_number": "512-329-0881",
            "fax_number": "512-329-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER-RODRIGUEZ",
        "first_name": "REGAN",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "26884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC / BS NUMBER",
            "identifier": "0092NT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "7487002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.