DR. REGINA MAE TINIO KABATAY BRIAN


Address: 900 Main Street, Suite 780, Peoria, IL 61602
Phone: 3096725946

DR. REGINA MAE TINIO KABATAY BRIAN (NPI# 1699848051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699848051
Entity Type Individual
Full Name DR. REGINA MAE TINIO KABATAY BRIAN
Credential PSY.D.
Practice Address 900 Main Street
Suite 780
Peoria
IL 61602
Mailing Address Po Box 604
Bloomington
IL 61702-0604
Practice Telephone 3096725946
Mailing Telephone 3094521188
Mailing Fax Number 3095884115
Enumeration Date 2006-11-15
Last Update Date 2010-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 900 MAIN STREET
SUITE 780
City PEORIA
State IL
Zip Code 61602

Providers in the same location

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1265407399 Cardiac Consultants Sc Internal Medicine 900 Main Street, Suite 320, Peoria, IL 61602 2006-02-22
1013364470 Rafal Szymczuk Student in an Organized Health Care Education/Training Program 900 Main Street, Suite 720, Peoria, IL 61602 2016-05-16
1467538231 Terry Meriden Internal Medicine 900 Main Street, Suite 300, Peoria, IL 61602 2006-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
1235675836 Cheryl Beckman Registered Nurse 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 2017-01-06
1063957942 Rosemary Ince Registered Nurse 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 2016-12-30
1962674820 Lisa Jean Burckhartzmeyer Psychiatry & Neurology 228 Ne Jefferson St, Peoria, IL 61602 2008-03-31
1669503587 Jill Larson Counselor 330 Sw Washington Street, Peoria, IL 61602 2007-03-09
1043693831 Kari Beth Watts Family Medicine 815 Main St, Peoria, IL 61602 2015-06-30
1881072791 Kristen Dent Family Medicine 815 Main St, Peoria, IL 61602 2015-05-12
1023422797 Andrew Wang Psychiatry & Neurology 900 Main St Ste 580, Peoria, IL 61602 2014-06-20
1568805703 Mohsina Ahmed Psychiatry & Neurology 900 Main St Ste 400, Peoria, IL 61602 2013-04-08
1750518775 Laura Smith Family Medicine 815 Main St Ste A, Peoria, IL 61602 2009-06-17
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508026865 Eckert & Associates Psychologist 3024 W Lake Avenue, Peoria, IL 61615 2008-06-11
1972604411 Glen Manor Counseling Psychologist 914 Glen Ave, Suite #3, Peoria, IL 61614 2006-09-26
1801993142 The Antioch Group, Inc. Psychologist 6615 N. Big Hollow Rd., Peoria, IL 61615-2451 2006-09-20
1326024332 Greg Alan Peetoom Psychologist 20470 N Lake Pleasant Rd Ste 106, Peoria, AZ 85382 2005-12-21
1265948863 Del Soul Counseling Pllc Psychologist 15396 N 83rd Ave Ste G103, Peoria, AZ 85381-5629 2017-12-18
1780973925 Mikell Ryanne Ehnle Psychologist 3716 W Brighton Ave, Peoria, IL 61615-2938 2011-03-28
1093894248 Anthony Perino Psychologist 7317 N Willow Lake Ct, Peoria, IL 61614-8260 2006-11-06
1629157987 Shelley Falkin Gregg Psychologist 7317 N Willow Lake Ct, Peoria, IL 61614-8260 2006-11-06
1710066980 Eric Ward Psychologist 7317 N Willow Lake Ct, Peoria, IL 61614-8260 2006-11-06
1932288289 Robert Glazeski Psychologist 7317 N Willow Lake Ct, Peoria, IL 61614-8260 2006-11-06
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Competitor

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City PEORIA
Zip Code 61602

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Dataset Information

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.

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