Be Integrative Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BE INTEGRATIVE PSYCHOLOGY, PLLC

Practice address

300 Red Bud Memorial Drive
Pekin, IL 61554

Phone

(309) 863-5255

NPI assigned

Feb 5, 2025

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina Brian

Title

Manager

Phone

(309) 863-5255

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regina Mae Tinio Kabatay Brian, PSY.D.

  • Clinical Psychologist
  • Pekin, IL
  • NPI 1699848051
  Medicare reassignment NPD

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1902610371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RED BUD MEMORIAL DRIVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "61554",
            "telephone_number": "309-863-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RED BUD MEMORIAL DRIVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "61554",
            "telephone_number": "309-863-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE INTEGRATIVE PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "BRIAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-863-5255"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Kyle Barnett, PHARM D
• Jodie R Barnett, CADC
• Jolynn S Barrett, MHP DSP
• Ashley Nicole Basel, APRN
• Ann E Bash, P.T.
• Jeannette Louise Becker, RN
• Laura Louise Becker
• Bednar Chiropractic LLC
• Cody Beer, APN
• Jodi Behymer, RN BSN

• Clinical Psychologist in Pekin, IL
• Providers in Pekin, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.