Individual provider Active NPI

Regina D Austin, PH.D.

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1992701577
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2307 Issued in TN
Practice address
2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331
Phone
(865) 264-2400
Fax
(865) 886-4065
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32291 TX
Clinical Psychologist 103TC0700X 2307 TN Primary

Addresses

Primary practice location

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331

Mailing address

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331
Phone (865) 264-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32291TXMDDentist
2307TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Connections of Texas, PLLC Clinical Past Accepting new patients
Denise M. Stillman, PHD., PC Clinical PastSince Sep 6, 2022 Accepting new patients
Geriatric Evaluation & Mental Clinical Past Accepting new patients
Pain Medicine Associates, P.C. Psychologist Past Accepting new patients
Pain Medicine Associates, P.C. Past Accepting new patients
Knoxville Psychiatric Group Clinical Past Accepting new patients

Organizations & group practices 6

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1992701577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-886-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-886-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "REGINA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32291",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.