Healthcare Provider Details

I. General information

NPI: 1437967726
Provider Name (Legal Business Name): ROYAL REGIME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 CLARE AVE
HYDE PARK MA
02136-2204
US

IV. Provider business mailing address

1690 BOSTON RD STE 1047
SPRINGFIELD MA
01129-1153
US

V. Phone/Fax

Practice location:
  • Phone: 877-566-3993
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONIQUE SELDEN-RILEY
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: PMHNP-BC, LMHC/LPC
Phone: 877-566-3993