JOHN T REGAN (NPI# 1003965740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003965740 |
| Entity Type | Individual |
| Full Name | JOHN T REGAN |
| Credential | PSYCHOLOGIST |
| Practice Address |
420 W 5th Ave Flint MI 48503-2445 |
| Mailing Address |
2400 Mckail Rd Bruce MI 48065-1015 |
| Practice Telephone | 8104965640 |
| Mailing Telephone | 8107982389 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301002880 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795070 | John E Regan | Dentist | 650 Cherry St, Huntington, IN 46750-2033 | 2006-07-20 |
| 1104274968 | John Edward Regan | Hospitalist | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2016-06-01 |
| 1477968709 | John Regan | Nurse Practitioner | 100 Woods Rd, Valhalla, NY 10595-1530 | 2014-06-25 |
| 1982031779 | John Regan | Psychologist | 1901 Walnut St, Apt. 5 F, Philadelphia, PA 19103-4640 | 2013-10-11 |
| 1134359730 | John Jude Regan | Massage Therapist | 23 Jefferson St., Ellicottville, NY 14731-0781 | 2009-07-17 |
| 1861612491 | John D Regan | Dentist | 5800 Coit Rd, Suite 200, Plano, TX 75023 | 2007-04-26 |
| 1972602506 | John Timothy Regan | Internal Medicine | 800 Irving Ave, Team Blue, Syracuse, NY 13210-2716 | 2006-09-21 |
| 1588672802 | John S. Regan | Urology | 101 W University Ave, Champaign, IL 61820-3909 | 2006-08-03 |
| 1013932508 | John James Regan | Orthopaedic Surgery | 120 S Spalding Dr Ste 400, Beverly Hills, CA 90212-1842 | 2006-07-13 |
| 1821056284 | John J Regan Jr. | Internal Medicine | 2925 Debarr Rd, Anchorage, AK 99508-2983 | 2006-05-03 |
| Street Address |
420 W 5TH AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115460 | County of Genesee Office of Controller | Preventive Medicine | 420 W 5th Ave, Flint, MI 48503 | 2005-12-20 |
| 1245837640 | Angela Marie Strom | Registered Nurse | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1841897246 | Avalena Ann Lessard | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1891309258 | Dawn Michelle Smith | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-09-03 |
| 1881203834 | Teevia C Brown | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-27 |
| 1811515018 | Tashara Monique Ewing | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-14 |
| 1265053508 | Kaleea Preuss-harper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-04-28 |
| 1285269969 | Richard L Neenan IIi | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-03-03 |
| 1518590405 | Erik Kahn | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-02-19 |
| 1346870961 | Lanora Cooper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679513717 | Spencer L Ballard | Psychologist | 2830 Corunna Rd, Flint, MI 48503-3254 | 2006-06-07 |
| 1891741443 | Anjana Bhrany | Psychologist | 2830 Corunna Rd, Flint, MI 48503-3254 | 2006-05-25 |
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| 1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
| 1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
| 1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
| 1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
| 1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.