Individual provider Active NPI

Regina Majestro, PSYD

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1982024485
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
260461 Issued in KY
Practice address
4600 Shelbyville Rd Ste 126
Box 6111
Louisville, KY 40207-3398
Phone
(502) 762-4261
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 260461 KY Primary

Addresses

Primary practice location

4600 Shelbyville Rd Ste 126
Box 6111
Louisville, KY 40207-3398

Mailing address

4600 Shelbyville Rd Ste 126
Box 6111
Louisville, KY 40207-3398
Phone (502) 762-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119002573 KY Practitioner - Clinical Psychologist 3678012317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
260461KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Majestro, PSYD, LLC CurrentSince Sep 13, 2024 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3351
Louisville, KY 40217
Phone (502) 762-4261

4600 Shelbyville Rd
Ste 126
Louisville, KY 40207
Phone (502) 762-4261

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1982024485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SHELBYVILLE RD STE 126",
            "address_2": "BOX 6111",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073398",
            "telephone_number": "502-762-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SHELBYVILLE RD STE 126",
            "address_2": "BOX 6111",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073398",
            "telephone_number": "502-762-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJESTRO",
        "first_name": "REGINA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "260461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.