Individual provider Active NPI

Regina Micelle Marshall, PHD

  • Clinical Psychologist
  • Salinas, CA
National Provider Identifier
1427182955
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15028 Issued in CA
Practice address
30 E San Joaquin St Ste 207
Salinas, CA 93901-2947
Phone
(831) 759-2540
Fax
(831) 754-1002
NPI assigned
Mar 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 PSY15028 CA Primary

Addresses

Primary practice location

30 E San Joaquin St Ste 207
Salinas, CA 93901-2947

Mailing address

30 E San Joaquin St Ste 207
Salinas, CA 93901-2947
Phone (831) 759-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2022 through Jan 29, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY15028CAMDClinical Psychologist
15028CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interpersonal Solutions, Inc 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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427182955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E SAN JOAQUIN ST STE 207",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012947",
            "telephone_number": "831-759-2540",
            "fax_number": "831-754-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E SAN JOAQUIN ST STE 207",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012947",
            "telephone_number": "831-759-2540",
            "fax_number": "831-754-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "REGINA",
        "middle_name": "MICELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.