KRISTA E. REGEDANZ PH.D.
NPI 1548456676
Psychologist - Clinical in Portola Valley, CA

Q: What is Krista Regedanz's NPI number?

The NPI number for Krista Regedanz is 1548456676. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Q: What is Krista Regedanz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Krista Regedanz enrolled in Medicare?

No. Krista Regedanz has opted out of Medicare through March 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Krista Regedanz was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 21, 2007Opted out of Medicare · through Mar 10, 2027

4370 ALPINE RD STE 200, PORTOLA VALLEY, CA 94028(650) 248-0754 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Apr 11, 2024, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About Krista E. Regedanz Ph.d. NPPES

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

KRISTA E. REGEDANZ PH.D. (NPI 1548456676) is an individual clinical provider in Portola Valley, California, licensed in California (PSY23220) and active in the NPI registry since September 2007. She has opted out of Medicare through March 10, 2027.

NPPES Registry Identity

NPI1548456676

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKRISTA E. REGEDANZCredential: PH.D.

Location Address4370 ALPINE RD STE 200Portola Valley, CA 94028-7953

Mailing Address4370 Alpine Rd Ste 200Portola Valley, CA 94028-7953 · (650) 248-0754

Phone(650) 248-0754

Sole ProprietorNo

Enumeration DateSeptember 21, 2007

Last NPPES UpdateMarch 11, 20255 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1548456676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY23220

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4370 ALPINE RD STE 200, Portola Valley, CA 94028

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Krista E. Regedanz Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 10, 2025 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2025

Opt-Out In Effect ThroughMarch 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

AMY K SHARP PHD

Psychologist (Clinical)

4370 ALPINE RD STE 200
PORTOLA VALLEY, CA 94028

San Mateo County (650) 422-2944

KRISTA REGEDANZ, PHD, A PSYCHOLOGICAL ORGANIZATION

Psychologist (Group Psychotherapy)

4370 ALPINE RD STE 200
PORTOLA VALLEY, CA 94028

San Mateo County (650) 248-0754

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 Krista Regedanz's NPI number?

The NPI number for Krista Regedanz is 1548456676. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Krista Regedanz located?

Krista Regedanz practices at 4370 Alpine Rd Ste 200, Portola Valley, CA 94028. The listed phone number is (650) 248-0754.

What is Krista Regedanz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Krista Regedanz enrolled in Medicare?

No. Krista Regedanz has opted out of Medicare through March 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Krista Regedanz was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.