Regina Kelleher

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

423 Issued in MA

Practice address

48 Westover St
West Roxbury, MA 02132-1342

Phone

(617) 791-7760

NPI assigned

Nov 16, 2015

Last updated

Nov 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Regina Gallagher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1528432457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WESTOVER ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321342",
            "telephone_number": "617-791-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WESTOVER ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321342",
            "telephone_number": "617-791-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "GALLAGHER",
            "credential": "ME.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eleanor Beth Karp, PH.D.
• Anand B Kartha, M.D,, M.SC
• Caitlin Keane
• Kearstin F. Thomas D.M.D.,PC
• Mary Elizabeth Keaveny, NURSE PRACTITIONER
• Rachel Kelley
• Angela Kelly
• Catherine Ann Kelly, PT, DPT, MS
• Justin C Kelly
• Meagan Kelly, NP-C

• Addiction (Substance Use Disorder) Counselor in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.