Michael Wayne Regier, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY17490 Issued in CA

Practice address

1705 14TH St
Los Osos, CA 93402-1866

Phone

(559) 799-0116

NPI assigned

Oct 22, 2008

Last updated

Feb 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 12, 2019 through Dec 12, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1487806410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 14TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021866",
            "telephone_number": "559-799-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 14TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021866",
            "telephone_number": "559-799-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Marsh St Ste 250",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012903",
            "country_code": "US",
            "telephone_number": "559-222-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGIER",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Maria Perez-Mansfield, OTR/L
• Robin A Peterson, D.C.
• Ralphs Grocery Company (Ralphs Pharmacy #271)
• Michelle Ramirez, PT
• Ratchford Dental Practice of Los Osos, Inc.
• Erin Roberts, OTR
• Maison Rodriguez
• Karen Marie Rogers, LMFT
• Casey Alynn Rosenlieb, SA COUNSELOR
• Joe Rosilez

• Psychologist in Los Osos, CA
• Providers in Los Osos, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.