REGINA CAVANAUGH, M.D. (NPI# 1053431429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053431429 |
| Entity Type | Organization |
| Organization Name | REGINA CAVANAUGH, M.D. |
| Practice Address |
775 Indian Trl Harker Heights TX 76548-7025 |
| Practice Telephone | 2546982216 |
| Practice Fax Number | 2546982296 |
| Mailing Telephone | 2546982216 |
| Mailing Fax Number | 2546982296 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. REGINA KRISTINE CAVANAUGH (OWNER) |
| Authorized Official Telephone | 2546982216 |
| Authorized Official Credential | M.D., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
J4031 | TX | Behavioral Health & Social Service Providers |
| Street Address |
775 INDIAN TRL |
| City | HARKER HEIGHTS |
| State | TX |
| Zip Code | 76548-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992814495 | Regina Kristine Cavanaugh | Psychiatry & Neurology | 775 Indian Trl, Suite 200, Harker Heights, TX 76548-7025 | 2006-08-29 |
| 1841658309 | Sandy Jones | Nurse Practitioner | 775 Indian Trl, Harker Heights, TX 76548-7025 | 2016-01-29 |
| 1528366648 | Lone Star Circle of Care | Clinic/Center | 775 Indian Trl, Suite 200, Harker Heights, TX 76548-7026 | 2011-03-14 |
| 1144467283 | Viola May Crowder-moger | Specialist | 775 Indian Trl, Suite 100, Harker Heights, TX 76548-7025 | 2009-01-12 |
| 1619122314 | Jered Dane Benedick | Social Worker | 775 Indian Trl, Ste. 200, Harker Heights, TX 76548 | 2008-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104109 | Bryan C Sigoloff | Pharmacist | 601 Indian Trail Dr., Harker Heights, TX 76548 | 2020-08-11 |
| 1558903377 | Rebecca Jean Droge | Behavior Technician | 904 Mountain Lion Circle Ste 500, Harker Heights, TX 76548 | 2019-10-14 |
| 1750939252 | Dianne Scott | Licensed Vocational Nurse | 611 B Pima, Harker Heights, TX 76548 | 2019-08-28 |
| 1972084853 | Lorrie Miller Price | Licensed Vocational Nurse | 306 Live Oak Dr, Harker Heights, TX 76548 | 2018-08-28 |
| 1740761592 | Thomas Wesley Newton | Physical Therapy Assistant | 1415 Indian Oaks Drive, Harker Heights, TX 76548 | 2018-08-28 |
| 1821575812 | Amber Cepeda | Counselor | 1420 Loblolly Dr, Harker Heights, TX 76548 | 2018-07-23 |
| 1609385913 | Harker Heights Periodontics Pa | Dentist | 410 E. Central Texas Expwy, Harker Heights, TX 76548 | 2017-09-29 |
| 1821512757 | Muwanguzi K Pllc | Dentist | 980 Knight's Way, Harker Heights, TX 76548 | 2017-08-02 |
| 1477915957 | Constance Elaine King | Nurse Practitioner | 850 W Central Expy, Harker Heights, TX 76548 | 2016-03-24 |
| 1861869588 | Jenalee Schwab | Pharmacist | 201 E Central Expy, Suite 300, Harker Heights, TX 76548 | 2015-08-28 |
| Find all providers in zip 76548 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048417 | Marissa L Benners | Psychologist | 3304 Colorado Blvd Ste 102, Denton, TX 76210-6872 | 2020-09-22 |
| 1235741778 | Capital Area Psychological & Evaluation Services, Pllc | Psychologist | 1715 W Fm 1626 Ste 200, Manchaca, TX 78652-3549 | 2020-08-17 |
| 1396354718 | Tarrah Mitchell | Psychologist | 3918 125th St, Lubbock, TX 79423-8906 | 2020-07-31 |
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1790341261 | Ann Caballero | Psychologist | 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 | 2019-05-10 |
| 1396231064 | Crystal Gayle | Psychologist | 3626 N Hall St Ste 550, Dallas, TX 75219-5105 | 2018-07-06 |
| 1104314533 | Kelly Nicole Banneyer | Psychologist | 6701 Fannin St Ste 1630, Houston, TX 77030-2615 | 2018-05-01 |
| 1679086615 | Houston Psychology and Wellness, Pllc | Psychologist | 1111 North Loop W Ste 820, Houston, TX 77008-4715 | 2017-11-13 |
| Find all providers with the same taxonomy | ||||
| City | HARKER HEIGHTS |
| Zip Code | 76548 |
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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.