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MR. RANDOLF REGAN SR. CAC-AD
NPI 1962537100
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since February 21, 2007
9100 FRANKLIN SQUARE DR, EATP, BALTIMORE, MD 21237(410) 887-6465(410) 687-6005 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randolf Regan Sr. Cac-ad NPPES

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

MR. RANDOLF REGAN SR. CAC-AD (NPI 1962537100) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (AC0043) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1962537100
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RANDOLF REGAN SR.Credential: CAC-AD
Location Address9100 FRANKLIN SQUARE DR, EATPBaltimore, MD 21237-3903
Mailing Address23 N Bernice AveBaltimore, MD 21229-3712 · (410) 967-0169 · Fax (410) 687-6005
Phone(410) 887-6465
Fax(410) 687-6005
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962537100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · AC0043
9100 FRANKLIN SQUARE DR, Baltimore, MD 21237
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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.

MS. LINDA BERNADETTE WILSON-LANIER RN
Registered Nurse (Community Health)
9100 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Baltimore County (410) 887-6452
BARBARA A MITCHELL L.C.S.W.
Social Worker
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878
MR. BARRINGTON PAGE CAC-AD, CCDC
Counselor (Addiction (Substance Use Disorder))
9100 FRANKLIN SQUARE DR, 3RD FLOOR
BALTIMORE, MD 21237
Baltimore County (410) 887-6465
DR. KENNETH JEROME DEACON DDS
Dentist (General Practice)
9100 FRANKLIN SQUARE DR, EASTERN FAMILY RESOURCE CENTER DENTAL CLINIC
BALTIMORE, MD 21237
Baltimore County (410) 887-6440
MELISSA A NEIN L.C.P.C.
Counselor (Professional)
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878
SHAMIRA RICHBURG RN
Registered Nurse
9100 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Baltimore County (410) 887-6452
KRISTEN M WAGNER L.C.P.C.
Counselor (Professional)
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878
WILLIAM J CONNOLLY L.C.S.W.
Social Worker
9100 FRANKLIN SQUARE DR, SUITE 200
BALTIMORE, MD 21237
Baltimore County (443) 777-7878

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 Randolf Regan's NPI number?

The NPI number for Randolf Regan is 1962537100. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Randolf Regan located?

Randolf Regan practices at 9100 Franklin Square Dr Eatp, Baltimore, MD 21237. The listed phone number is (410) 887-6465.

What is Randolf Regan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Randolf Regan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.