Andrea Kara Tesher, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5894 Issued in NJ

Practice address

20 Wilsey SQ
Ridgewood, NJ 07450-3793

Phone

(201) 396-6793

NPI assigned

Mar 5, 2018

Last updated

Mar 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lukin Center for Psychotherapy and Advancement PCGroup PAC ID 4183849052, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Lukin Center for Psychotherapy and Advancement PC

  • Clinical Psychologist
  • Ridgewood, NJ
  • NPI 1497170971
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1093217135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PEARL CT",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757224",
            "telephone_number": "201-396-6793",
            "fax_number": "201-399-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILSEY SQ",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503793",
            "telephone_number": "201-396-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESHER",
        "first_name": "ANDREA",
        "middle_name": "KARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "5894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatma Tavukcu Ergin, MD
• Linda Taylor, PH.D.
• Beatriz Carmen Tejeiro, RN, CPNP
• Celeste Telfeyan, D.O.
• Krista L Teresak, PA-C
• Sheryl Thailer, PH.D.
• Eve Thaler, LPC
• Faith Thayer, LPC, LCAT
• The Center for Transformation Health and Wellness LLC
• The Pain, Spine and Sports Institute LLC

• Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.