STACEY REGNER


Address: 1617 Willowhurst Ave, San Jose, CA 95125-5561
Phone: 4085316428

STACEY REGNER (NPI# 1780131797) 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) 1780131797
Entity Type Individual
Full Name STACEY REGNER
Credential MT-BC
Practice Address 1617 Willowhurst Ave
San Jose
CA 95125-5561
Practice Telephone 4085316428
Mailing Telephone 4085316428
Enumeration Date 2016-09-07
Last Update Date 2016-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225A00000X Music Therapist 09965 Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CERTIFICATION BOARD FOR MUSIC THERAPISTS (CBMT) 09965 01

Office Location

Street Address 1617 WILLOWHURST AVE
City SAN JOSE
State CA
Zip Code 95125-5561

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1376197848 Mariam Samir Abadir Dentist 1670 Westwood Dr. Suite K, San Jose, CA 95125 2019-08-01
1750870747 Gertrud Stojancic Massage Therapist 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 2018-05-04
1659809259 Edward Escoto Assistant Behavior Analyst 2075 Lincoln Ave Ste D, San Jose, CA 95125 2017-05-25
1104288422 Kristin Ann Dessau Counselor 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 2016-03-25
1275964488 Indian Health Center of Santa Clara Valley Clinic/Center 1685 Westwood Dr Ste 1, San Jose, CA 95125 2013-12-13
1598042905 Walgreens Exclusive Provider Organization 2585 Almaden Road, San Jose, CA 95125 2011-11-14
1881981488 Kevin Jia-chian Yen Dentist 1660 Willow St Ste 5, San Jose, CA 95125 2011-07-02
1699093724 Lokahi Acupuncture, Inc. Acupuncturist 1688 Willow Street, Suite B, San Jose, CA 95125 2010-05-13
1538482468 Mark Lucius Yoslow Psychologist 970 Minnesota Avenue, San Jose, CA 95125 2010-03-06
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Taxonomy Information

Taxonomy Code 225A00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Music Therapist

Taxonomy Definition

Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.
Notes: Source: American Music Therapy Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609491034 Mai Abe Music Therapist 154 Hollywood Ave, San Jose, CA 95112-5912 2020-06-11
1629367230 Nathaniel David Stein Music Therapist 473 S Willard Ave, San Jose, CA 95126-3371 2011-04-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235742867 Cory Cruz Woodrow Music Therapist 10455 Sorrento Valley Rd Ste 201, San Diego, CA 92121-1622 2020-08-24
1710590468 Cassandra Richtsmeier Music Therapist 10455 Sorrento Valley Rd Ste 202, San Diego, CA 92121-1622 2020-08-24
1851903652 Allison Nocita Music Therapist 10455 Sorrento Valley Rd Ste 208, San Diego, CA 92121-1622 2020-08-21
1871110916 Dan Eric Fesman IIi Music Therapist 70880 Sunny Ln, Rancho Mirage, CA 92270-2345 2020-07-05
1750904983 Joanna M Zaccaria Music Therapist 1234 Brommer St, Santa Cruz, CA 95062-2904 2020-05-21
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679112833 Megan Nasean Dozler Music Therapist 333 Sunset Ave Ste 105110, Suisun City, CA 94585-2003 2020-01-04
1750929964 Darcy Jordan Smith Music Therapist 220 Country Club Gate Ctr Ste 7, Pacific Grove, CA 93950-5014 2019-12-18
1104462779 Meli Music LLC Music Therapist 16944 Ventura Blvd Ste 8, Encino, CA 91316-4165 2019-11-19
1467096172 Renee Alene Dundas Music Therapist 3856 Lyceum Ave, Los Angeles, CA 90066-4125 2019-11-06
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Competitor

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City SAN JOSE
Zip Code 95125

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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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