Lisa Regev, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 19770 Issued in CA

Practice address

739 Main St Ste G
Pleasanton, CA 94566-6641

Phone

(925) 264-9479

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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 Oct 1, 2020 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Tri-Valley Psychological Services, PC

  • Adult Mental Health Clinic/Center
  • Pleasanton, CA
  • NPI 1235993015
  NPD Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1679640064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 MAIN ST STE G",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666641",
            "telephone_number": "925-264-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 MAIN ST STE G",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666641",
            "telephone_number": "925-264-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGEV",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 19770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Reddersen
• Redwood Medical Center
• Brittany Reed
• Reeves, DDS and Lavalley, DDS, a Dental Corporation (Kids Care Dental & Orthodontics - Pleasanton)
• Refresh Sleep Medical Clinic
• Rehabcare Group East, LLC
• Heather Reichenberg
• Rita Reid, PT
• Cathy Reimers, PHD
• Paul L. Reimers, O.D.

• Clinical Psychologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.