Active NPI
Stacey Regner, MT-BC
- Music Therapist
- San Jose, CA
National Provider Identifier
1780131797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 09965
- Practice address
- 1617 Willowhurst Ave
San Jose, CA 95125-5561 - Phone
- (408) 531-6428
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 09965 | Primary |
Addresses
Primary practice location
1617 Willowhurst Ave
San Jose, CA 95125-5561
Mailing address
1617 Willowhurst Ave
San Jose, CA 95125-5561
Phone (408) 531-6428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09965 | Other | CERTIFICATION BOARD FOR MUSIC THERAPISTS (CBMT) |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arts Educators Group, Inc. | Music Therapist | 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 and National Provider Directory roles.
-
- Music Therapist
- Sunnyvale, CA
- NPI 1437693983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1780131797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 WILLOWHURST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255561",
"telephone_number": "408-531-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 WILLOWHURST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255561",
"telephone_number": "408-531-6428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGNER",
"first_name": "STACEY",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": "09965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION BOARD FOR MUSIC THERAPISTS (CBMT)",
"identifier": "09965",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.