Regina Adetoro Omosebi, MA PSYCHOLOGIST

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

46 Commonwealth Ave
Middletown, NY 10940

Phone

(646) 234-4140

Fax

(845) 467-4536

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1912039264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 COMMONWEALTH AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "646-234-4140",
            "fax_number": "845-467-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 COMMONWEALTH AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "646-234-4140",
            "fax_number": "845-467-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOSEBI",
        "first_name": "REGINA",
        "middle_name": "ADETORO",
        "name_prefix": "Mrs.",
        "credential": "MA PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Leandra Olowu, D.O.
• Samantha Olson, LMHC
• Mihai Olteanu, M.D.
• Joseph Omoregie, LPN
• Oluwafemi A Omosebi
• Ryan Omura, DO
• Marcelo Ona
• Nicole M Onorato, LCSW
• Orange Anesthesia Services P.C..
• Orange County Dental Services

• Intellectual & Developmental Disabilities Psychologist in Middletown, NY
• Providers in Middletown, NY by specialty
• Intellectual & Developmental Disabilities Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.