STACY L REGER PH D A PSYCHOLOGICAL CORPORATION
NPI 1942056429
Psychologist - Clinical in Redondo Beach, CA

Q: What is Stacy L Reger Ph D A Psychological Corporation's specialty?

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

Active since April 25, 2024

511 TORRANCE BLVD STE 106, REDONDO BEACH, CA 90277(244) 262-1925 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2025, Apr 25, 2024 (2 updates tracked since 2024).

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About Stacy L Reger Ph D A Psychological Corporation NPPES

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

STACY L REGER PH D A PSYCHOLOGICAL CORPORATION (NPI 1942056429) is a healthcare organization registered as a clinical in Redondo Beach, California and active in the NPI registry since April 2024. The organization lists Stacy Reger, President, as its authorized official.

NPPES Registry Identity

NPI1942056429

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSTACY L REGER PH D A PSYCHOLOGICAL CORPORATION

Location Address511 TORRANCE BLVD STE 106Redondo Beach, CA 90277-3478

Mailing Address2114 Dufour AveRedondo Beach, CA 90278-1413 · (310) 266-3483

Phone(244) 262-1925

Organization SubpartNo

Authorized OfficialStacy RegerPresident · (424) 262-1925

Enumeration DateApril 25, 2024

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1942056429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

511 TORRANCE BLVD STE 106, Redondo Beach, CA 90277

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy L Reger Ph D A Psychological Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stacy L Reger Ph D A Psychological Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stacy Reger, PH.D.

Clinical Psychologist

NPI 1467821140

5901 E 7TH ST 07/128
Long Beach, CA 90822

(310) 266-3483

✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stacy L Reger Ph D A Psychological Corporation's NPI number?

The NPI number for Stacy L Reger Ph D A Psychological Corporation is 1942056429. It was assigned to this organization in the NPPES registry on April 25, 2024.

Where is Stacy L Reger Ph D A Psychological Corporation located?

Stacy L Reger Ph D A Psychological Corporation is located at 511 Torrance Blvd Ste 106, Redondo Beach, CA 90277. The listed phone number is (244) 262-1925.

What is Stacy L Reger Ph D A Psychological Corporation's specialty?

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

Is Stacy L Reger Ph D A Psychological Corporation enrolled in Medicare?

Yes. Stacy L Reger Ph D A Psychological Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stacy L Reger Ph D A Psychological Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Stacy L Reger Ph D A Psychological Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stacy L Reger Ph D A Psychological Corporation was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.