Terri Ordahl, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37119 Issued in TX

Practice address

102 E Moore Ave Ste 225
Terrell, TX 75160-3244

Phone

(903) 340-9915

NPI assigned

Nov 15, 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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Terri Ordahl Psy D PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Terrell, TX
  • NPI 1841858982
  NPD Authorized official
• Mariposa Psychological Services

  • Psychologist
  • Rochester, MN
  • NPI 1013013531
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1114099751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 GLENN LN",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751583707",
            "telephone_number": "903-340-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E MOORE AVE STE 225",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751603244",
            "telephone_number": "903-340-9915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2837 County Road 101",
            "address_purpose": "LOCATION",
            "city": "Kaufman",
            "state": "TX",
            "postal_code": "751426613",
            "country_code": "US",
            "telephone_number": "972-962-7374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDAHL",
        "first_name": "TERRI",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North West Frontier Recovery PLLC
• Amy Katharine Novak, RN, MSN, PMHNP
• Debra Anne Ofner, RN
• David Osagie Okumbor, M.D
• Oluwafisayo Oni, NP
• Orsel S. McGhee III M.D., P.a.
• Orthopaedic Specialists of Dallas, PA
• Our Folks GHC LLC
• Amanda C Owens, COTA/L
• P, Harrison Case Management and Consulting

• All providers in Terrell, TX
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.