Active NPI
Regina Yvonne Leverrier, MD
- Psychiatry Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G170039
- Practice address
- 4441 E Kings Canyon Road
Fresno, CA 93702 - Phone
- (559) 600-4099
- NPI assigned
- Dec 22, 2006
- Last updated
- Oct 18, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 180469 | NY | |
| Psychiatry Physician | 2084P0800X | 036.146208 | IL | |
| Psychiatry Physician | 2084P0800X | DR.48092 | CO | |
| Psychiatry Physician | 2084P0800X | G170039 | CA | Primary |
Addresses
Primary practice location
4441 E Kings Canyon Road
Fresno, CA 93702
Mailing address
15257 W Warren Dr
Lakewood, CO 80228-6432
Phone (917) 328-0799
Other practice location 1
15257 W Warren Dr
Lakewood, CO 80228-6432
Phone (917) 328-0799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01885749 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G170039 | CA | MD | Psychiatry Physician |
| DR.48092 | CO | MD | Psychiatry Physician |
| 036.146208 | IL | MD | Psychiatry Physician |
| 180469 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardner Family Health Network Inc | Current | Accepting new patients | |
| TMS Solutions Inc | Psychiatry | Current | Accepting new patients |
| Well Nourished LLC | Current | Accepting new patients | |
| Gardner Family Health Network, Inc. | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Medical Healthcare Services P.C. | Psychiatry | Past | Accepting new patients |
Locations
160 E Virginia St
Ste 100
San Jose, CA 95112
Phone (408) 918-2618
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621
2801 Youngfield St
Ste 101
Golden, CO 80401
Phone (720) 512-1215
3150 N 12th St
Grand Junction, CO 81506
Phone (970) 242-5707
765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005
Organizations & group practices 7
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.
-
dba Gardner Specialty Service Center
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1699841528
-
- General Acute Care Hospital
- Boulder, CO
- NPI 1821074196
-
- Psychiatry Physician
- Grand Junction, CO
- NPI 1255732632
-
- Adult Mental Health Clinic/Center
- Golden, CO
- NPI 1598409468
-
- Federally Qualified Health Center (FQHC)
- Alviso, CA
- NPI 1083654545
-
dba Community Medical Assoc of BCH
- Primary Care Clinic/Center
- Boulder, CO
- NPI 1740837137
-
- Psychiatry Physician
- New York, NY
- NPI 1427342658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1861557506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15257 W WARREN DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286432",
"telephone_number": "917-328-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E KINGS CANYON ROAD",
"city": "FRESNO",
"state": "CA",
"postal_code": "93702",
"telephone_number": "559-600-4099"
}
],
"practiceLocations": [
{
"address_1": "15257 W Warren Dr",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802286432",
"country_code": "US",
"telephone_number": "917-328-0799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVERRIER",
"first_name": "REGINA",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "180469",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.146208",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.48092",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G170039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01885749",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.