Healthcare Provider Details

I. General information

NPI: 1942163936
Provider Name (Legal Business Name): KARINA OCHOA REGALADO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 MAIN ST
SPRINGFIELD MA
01104-3301
US

IV. Provider business mailing address

2155 MAIN ST
SPRINGFIELD MA
01104-3301
US

V. Phone/Fax

Practice location:
  • Phone: 413-736-0395
  • Fax:
Mailing address:
  • Phone: 413-736-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: