Stacy L Reger PH D a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

STACY L REGER PH D A PSYCHOLOGICAL CORPORATION

Practice address

511 Torrance Blvd Ste 106
Redondo Beach, CA 90277-3478

Phone

(244) 262-1925

NPI assigned

Apr 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Reger, PHDNPI 1467821140

Title

President

Phone

(424) 262-1925

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy L Reger, PH.D.

  • Psychologist
  • Long Beach, CA
  • NPI 1467821140
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1942056429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 DUFOUR AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781413",
            "telephone_number": "310-266-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 TORRANCE BLVD STE 106",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773478",
            "telephone_number": "244-262-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY L REGER PH D A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "REGER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-262-1925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.