Teena Pervaiz, MD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

MD.70069082 Issued in WA

Practice address

112 Columbia Point Dr Ste 101
Richland, WA 99352-4390

Phone

(509) 942-2023

Fax

(509) 942-2640

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tpervaiz877308@ahs.direct-ci.com

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1053939116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-942-2023",
            "fax_number": "509-942-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-942-2023",
            "fax_number": "509-942-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Elm St N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581022416",
            "country_code": "US",
            "telephone_number": "701-293-4109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "TEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "MD.70069082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nickole Michelle Perry, ARNP
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• Peter E Seda MD Facc PS Mid Columbia Heart and Lung Institute
• Andrew Scott Peterson, PTA
• Pamela Peterson, RN
• Peggy Ann Peterson, MA

• Clinical Child & Adolescent Psychologist in Richland, WA
• Providers in Richland, WA by specialty
• Clinical Child & Adolescent Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.

Verify at the official NPI Registry.