JANEANE REAGAN


Address: 510 County Road 466, Ste 207m, Lady Lake, FL 32159-4202
Phone: 3526430126

JANEANE REAGAN (NPI# 1003939349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003939349
Entity Type Individual
Full Name JANEANE REAGAN
Credential PHD
Practice Address 510 County Road 466
Ste 207m
Lady Lake
FL 32159-4202
Mailing Address 102 S Evers St
Ste 104
Plant City
FL 33563-5403
Practice Telephone 3526430126
Practice Fax Number 3527534034
Mailing Telephone 8137547756
Mailing Fax Number 8137547565
Enumeration Date 2007-04-10
Last Update Date 2017-05-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY7470 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICAL LICENSE # PY7470 01

Office Location

Street Address 510 COUNTY ROAD 466
STE 207M
City LADY LAKE
State FL
Zip Code 32159-4202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477503704 Joseph David Wright Physical Therapist 510 County Road 466, Suite 201 Q, Lady Lake, FL 32159 2006-05-10
1952917478 Cr & Ra Investments Inc. Home Health 510 County Road 466, Suite 201 Office # D, Lady Lake, FL 32159 2020-09-21
1932593985 Seniorbridge Family Companies (fl), Inc. In Home Supportive Care 510 County Road 466, Suite 201, Room B, Lady Lake, FL 32159 2015-03-26
1285022319 American In-home Care, LLC Home Health 510 County Road 466, Ste 207 B, Lady Lake, FL 32159-5143 2014-12-23
1588068951 Lewis Chiropractic Group, Inc. Chiropractor 510 County Road 466, Suite 104b, Lady Lake, FL 32159-9999 2014-10-14
1275615452 Matthew Karstan Lewis Chiropractor 510 County Road 466, Suite 104b, Lady Lake, FL 32159-9999 2006-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306451216 Lindsey Porubcan Physician Assistant 990 South Us Highway 441/27, Lady Lake, FL 32159 2020-09-09
1073134979 Michael Robert Frates Dietitian, Registered 900 Cr 466, Lady Lake, FL 32159 2020-05-01
1346800364 Barbara Conrad Social Worker 906 Orchid Street, Lady Lake, FL 32159 2019-06-20
1962977165 Curelogics Wound Care and Hyperbaric LLC Registered Nurse 809 County Road 466, Unit C-201, Lady Lake, FL 32159 2018-10-04
1346736907 Caroline Butler Physician Assistant 805 E. Cr 466, Lady Lake, FL 32159 2018-07-06
1033609607 Cyrus Immanuel Macalisang Doroy Physical Therapist 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 2018-05-18
1962999680 Sharma Institute of Pain Medicine Physical Medicine & Rehabilitation 1501 Us Hwy 441, Villages, FL 32159 2018-04-18
1538683198 Cathleen Laurel Civiello Psychologist 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 2017-07-26
1649709015 Adria Young Optometrist 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 2017-06-08
1891222527 Center for Hope and Healing, LLC Social Worker 804 Hwy 466, Lady Lake, FL 32159 2017-05-12
Find all providers in zip 32159

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538683198 Cathleen Laurel Civiello Psychologist 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 2017-07-26
1992256739 Javier Mouriz Psychologist 804 Co Rd 466, Lady Lake, FL 32159 2016-10-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376144774 Jennifer Mcmanus Psychologist 4143 San Juan Ave, Jacksonville, FL 32210-3333 2020-11-03
1992304711 Thomas Francis Ryan Psychologist 1015 Sonesta Ave, Brandon, FL 33511-6658 2020-10-22
1912506924 Emily F. Hoon, Phd, Pllc Psychologist 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 2020-10-21
1447866405 Daniel Martinez Psychologist 4765 W Atlantic Ave, Delray Beach, FL 33445-3838 2020-09-16
1134731367 North Florida Neuropsychology, LLC Psychologist 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475 2020-08-19
1215547153 Ellen Frances Price Phd Psychologist 7025 Beracasa Way Ste 102c, Boca Raton, FL 33433-3428 2020-08-05
1811515745 Sarah Amelia Sanon Psychologist 10381 Sw 9th Ln, Pembroke Pines, FL 33025-3585 2020-07-07
1720606718 Carolina Montalvo Psychologist 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 2020-07-07
1689291833 Bridget Cabibi Psychologist 10700 Nw 66th St Apt 512, Doral, FL 33178-5508 2020-07-02
1912524414 Infinity Doctors Inc. Psychologist 9821 E Bay Harbor Dr Apt 401, Bay Harbor Islands, FL 33154-1868 2020-06-30
Find all providers with the same taxonomy

Competitor

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City LADY LAKE
Zip Code 32159

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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