Kelly Lee Teeples, MS IN EDUCATION

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

1-04-1677 Issued in FL

Practice address

1500 Weston Rd
Suite 211
Weston, FL 33326-3263

Phone

(786) 423-1637

NPI assigned

Feb 16, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1093789828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 SW 18TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124128",
            "telephone_number": "786-423-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WESTON RD",
            "address_2": "SUITE 211",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263263",
            "telephone_number": "786-423-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEPLES",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MS IN EDUCATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "1-04-1677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689927798",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689927796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Tarlow, PH.D.
• Jamie Beth Tarshis
• Yvonne April Tatasciore, P.T.A.
• Myriam Bellorin Taveras, D.M.D.
• Jason H Taylor
• Alanna Teitelbaum
• Farah Tejpar, M.D.
• Erin Templeton, MD
• Sheyla Tendero, MD
• Elizabeth Giuliana Teodori

• Cognitive & Behavioral Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Cognitive & Behavioral Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.