Individual provider Active NPI

Regina Lynch Black, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newtown, PA
National Provider Identifier
1699213033
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP036076 Issued in PA
Practice address
12 Penns TRL Ste 101
Newtown, PA 18940-1892
Phone
(267) 699-2537
NPI assigned
Feb 6, 2017
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP036076 PA Primary
Registered Nurse 163W00000X RN588393 PA

Addresses

Primary practice location

12 Penns TRL Ste 101
Newtown, PA 18940-1892

Mailing address

12 Penns TRL Ste 101
Newtown, PA 18940-1892
Phone (267) 699-2537

Medicare participation

Medicare enrollment files
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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1600 Hatboro Rd
Ivyland, PA 18974-1322

601 S Henderson Rd
Suite 150
King of Prussia, PA 19406-4234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN588393PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Mental Health & Wellness LLC 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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1699213033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PENNS TRL STE 101",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401892",
            "telephone_number": "267-699-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PENNS TRL STE 101",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401892",
            "telephone_number": "267-699-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH BLACK",
        "first_name": "REGINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP036076",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN588393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.