Individual provider Active NPI

Teresa Kay Elliott, PH.D.

  • Health Psychologist
  • Washington, DC
National Provider Identifier
1053530659
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
PSY1888 Issued in DC
Practice address
Kingsbury
5000 14TH Street N.W.
Washington, DC 20011-6926
Phone
(202) 545-2418
Fax
(202) 722-5554
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY1888 DC
Psychologist 103T00000X PSY1888 DC
Cognitive & Behavioral Psychologist 103TB0200X PSY1888 DC
Clinical Psychologist 103TC0700X PSY1888 DC
Clinical Child & Adolescent Psychologist 103TC2200X PSY1888 DC
Health Psychologist 103TH0004X PSY1888 DC Primary
Health Service Psychologist 103TH0100X PSY1888 DC
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY1888 DC

Addresses

Primary practice location

Kingsbury
5000 14TH Street N.W.
Washington, DC 20011-6926

Mailing address

Kingsbury
5000 14TH Street N.W.
Washington, DC 20011-6926
Phone (202) 545-2418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1888DCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kingsbury Center Inc. Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053530659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KINGSBURY",
            "address_2": "5000 14TH STREET N.W.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116926",
            "telephone_number": "202-545-2418",
            "fax_number": "202-722-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KINGSBURY",
            "address_2": "5000 14TH STREET N.W.",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116926",
            "telephone_number": "202-545-2418",
            "fax_number": "202-722-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DC",
            "license": "PSY1888",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1888",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "DC",
            "license": "PSY1888",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1888",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DC",
            "license": "PSY1888",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "DC",
            "license": "PSY1888",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "DC",
            "license": "PSY1888",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "DC",
            "license": "PSY1888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.