REGENERIZE PSYCHIATRY PLLC
NPI 1043054075
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sandpoint, ID

Q: What is Regenerize Psychiatry PLLC's NPI number?

The NPI number for Regenerize Psychiatry PLLC is 1043054075. It was assigned to this organization in the NPPES registry on June 24, 2024.

Q: What is Regenerize Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since June 24, 2024

605 S OLIVE AVE, SANDPOINT, ID 83864(209) 677-7747 Get Directions Write a Review

NPPES record last updated: October 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Regenerize Psychiatry Pllc NPPES

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

REGENERIZE PSYCHIATRY PLLC (NPI 1043054075) is a healthcare organization registered as a mental health (including community mental health center) in Sandpoint, Idaho and active in the NPI registry since June 2024. The organization lists Radley Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1043054075

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameREGENERIZE PSYCHIATRY PLLC

Location Address605 S OLIVE AVESandpoint, ID 83864-1154

Mailing Address605 S Olive AveSandpoint, ID 83864-1154 · (208) 606-0620

Phone(209) 677-7747

Organization SubpartNo

Authorized OfficialRadley PetersonOwner · (208) 899-5997

Enumeration DateJune 24, 2024

Last NPPES UpdateOctober 27, 2024

NPPES CertifiedOctober 27, 2024

✔ NPI 1043054075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

605 S OLIVE AVE, Sandpoint, ID 83864

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

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

RURBAN PLLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

605 S OLIVE AVE
SANDPOINT, ID 83864

Bonner County (208) 899-9312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenerize Psychiatry PLLC's NPI number?

The NPI number for Regenerize Psychiatry PLLC is 1043054075. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Regenerize Psychiatry PLLC located?

Regenerize Psychiatry PLLC is located at 605 S Olive Ave, Sandpoint, ID 83864. The listed phone number is (209) 677-7747.

What is Regenerize Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Regenerize Psychiatry PLLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Regenerize Psychiatry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regenerize Psychiatry PLLC was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.