Joanne M Regina, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005682L Issued in PA

Practice address

264 E Broad St
Bethlehem, PA 18018-6224

Phone

(610) 866-9311

Fax

(610) 882-2072

NPI assigned

Oct 11, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15246/brand/1/csg/1/fhir/r4

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.

• Psychology Associates of Bethlehem, PC

  • Psychologist
  • Bethlehem, PA
  • NPI 1518942655
  Medicare reassignment NPD Authorized official
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD (past) Authorized official
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD (past)
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, NY
  • NPI 1568059665
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1760470090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 WITHEE CT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201338",
            "telephone_number": "484-239-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186224",
            "telephone_number": "610-866-9311",
            "fax_number": "610-882-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGINA",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005682L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "620272",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01976801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4357978",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Reese
• Melissa J Reese, LSW
• Vanessa Michelle Regalado Lopez, PT
• Regen Doctors, Inc
• Jeremy Lee Regina, P.T.
• Susan Deutscher Rego, PHD
• Rehab Care
• Rehab Care- Moravian Village
• Rehabilitation Management Specialists, LLC (Quest Rehab and Wellness)
• Jay Rehrig, LAT, ATC, ITAT

• Clinical Psychologist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.