Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Regenerize Psychiatry PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1043054075

Regenerize Psychiatry PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Sandpoint, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 S Olive Ave
Sandpoint, ID 83864-1154
Phone: (209) 677-7747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1043054075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Radley Peterson — Owner · (208) 899-5997
NPI enumeratedJune 24, 2024
Last updated in NPPESOctober 27, 2024
Certification dateOctober 27, 2024
Mailing address605 S Olive Ave, Sandpoint, ID 83864-1154

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