Active NPI
Krista Regedanz, PHD, a Psychological Organization
- Group Psychotherapy Psychologist
- Portola Valley, CA
National Provider Identifier
1952156549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- KRISTA REGEDANZ, PHD, A PSYCHOLOGICAL ORGANIZATION
- Practice address
- 4370 Alpine Rd Ste 200
Portola Valley, CA 94028-7953 - Phone
- (650) 248-0754
- NPI assigned
- Apr 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krista Regedanz, PSY23220
- Title
- President/Ceo
- Phone
- (650) 248-0754
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | Primary |
Addresses
Primary practice location
4370 Alpine Rd Ste 200
Portola Valley, CA 94028-7953
Mailing address
4370 Alpine Rd Ste 200
Portola Valley, CA 94028-7953
Phone (650) 248-0754
Other names 1
- Palo Alto Smart Therapy
National Provider Directory
National Provider DirectoryLocations
4370 Alpine Rd
Ste 200
Portola Vally, CA 94028
Phone (650) 248-0754
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Portola Valley, CA
- NPI 1548456676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1952156549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 ALPINE RD STE 200",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287953",
"telephone_number": "650-248-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 ALPINE RD STE 200",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287953",
"telephone_number": "650-248-0754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTA REGEDANZ, PHD, A PSYCHOLOGICAL ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "REGEDANZ",
"authorized_official_first_name": "KRISTA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "650-248-0754",
"authorized_official_credential": "PSY23220"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palo Alto Smart Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portola Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.