DR. SANDRA J REGAN PHD
NPI 1023125366
Psychologist in Lake Geneva, WI

Active since August 24, 2006PECOS Enrolled
146 E GENEVA SQ, LAKE GENEVA, WI 53147(262) 249-4620(262) 249-7132 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sandra J Regan Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANDRA J REGAN PHD (NPI 1023125366) is an individual psychologist in Lake Geneva, Wisconsin, licensed in Wisconsin (2010-057) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023125366
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SANDRA J REGANCredential: PHD
Location Address146 E GENEVA SQLake Geneva, WI 53147
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860
Fax(262) 249-7132
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1023125366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 2010-057
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.

146 E GENEVA SQ, Lake Geneva, WI 53147

Other Identifiers 2

Medicaid39679200WI
Medicare UPINS55596

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sandra J Regan Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
146 E GENEVA SQ, AURORA HEALTH CENTER
LAKE GENEVA, WI 53147
Social Worker
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Family Medicine
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Physical Therapist
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Physical Therapist
146 E GENEVA SQ, EAST SIDE BLDG
LAKE GENEVA, WI 53147
Specialist/Technologist (Athletic Trainer)
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Physical Therapy Assistant
146 E GENEVA SQ
LAKE GENEVA, WI 53147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023125366, enumerated as an "individual" on August 24, 2006.

The provider is located at 146 E GENEVA SQ LAKE GENEVA, WI 53147 and the phone number is (262) 249-4620.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.