Active NPI
Regina Kakhnovets Ybarra, PH. D.
- Psychologist
- Frisco, TX
National Provider Identifier
1720421548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36962
- Practice address
- 7000 Parkwood Blvd
Suite G400
Frisco, TX 75034-7406 - Phone
- (214) 618-0588
- Fax
- (877) 345-4565
- NPI assigned
- Apr 11, 2013
- Last updated
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 36962 | TX | Primary |
| Counseling Psychologist | 103TC1900X | 3144 | TN | |
| Counseling Psychologist | 103TC1900X | 1670 | AL |
Addresses
Primary practice location
7000 Parkwood Blvd
Suite G400
Frisco, TX 75034-7406
Mailing address
7000 Parkwood Blvd
Suite G400
Frisco, TX 75034-7406
Phone (214) 618-0588
Other names 1
- Regina Kakhnovets
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36962 | TX | MD | Endodontist |
| 3144 | TN | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blank Slate Therapy | 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.
-
- Professional Counselor
- Frisco, TX
- NPI 1639539364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1720421548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 PARKWOOD BLVD",
"address_2": "SUITE G400",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347406",
"telephone_number": "214-618-0588",
"fax_number": "877-345-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 PARKWOOD BLVD",
"address_2": "SUITE G400",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347406",
"telephone_number": "214-618-0588",
"fax_number": "877-345-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBARRA",
"first_name": "REGINA",
"middle_name": "KAKHNOVETS",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "36962",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "3144",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AL",
"license": "1670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "KAKHNOVETS",
"credential": "PH. D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.