Active NPI
Brenda Lea Tebay, M.A.
- Psychologist
- Parkersburg, WV
National Provider Identifier
1003905464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- WV 878
- Practice address
- 1200 Stephenson Ave Ste 400
Parkersburg, WV 26101-4889 - Phone
- (304) 699-0506
- Fax
- (304) 422-8850
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | WV 878 | WV | Primary |
Addresses
Primary practice location
1200 Stephenson Ave Ste 400
Parkersburg, WV 26101-4889
Mailing address
PO Box 373
Harrisville, WV 26362-0373
Phone (304) 643-4005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000161 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV 878 | WV | MD | Psychologist |
Interoperability endpoints
- b.tebay@ritchieregional.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1003905464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 373",
"city": "HARRISVILLE",
"state": "WV",
"postal_code": "263620373",
"telephone_number": "304-643-4005",
"fax_number": "304-643-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 STEPHENSON AVE STE 400",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261014889",
"telephone_number": "304-699-0506",
"fax_number": "304-422-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEBAY",
"first_name": "BRENDA",
"middle_name": "LEA",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "WV 878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000161",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.