Individual provider Active NPI

Teresa Ashman, PH.D

  • Psychologist
  • Savannah, GA
National Provider Identifier
1184654378
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013028-1 Issued in NY
Practice address
715 Jefferson St
Savannah, GA 31401-5531
Phone
(646) 627-9963
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 013028-1 NY Primary

Addresses

Primary practice location

715 Jefferson St
Savannah, GA 31401-5531

Mailing address

715 Jefferson St
Savannah, GA 31401-5531
Phone (646) 627-9963

Other practice location 1

5 E 98th St
6TH Floor- Box#1240B
New York, NY 10029-6501
Phone (212) 241-2549

Other practice location 2

111 Sullivan Ave Ste 2-5
Ferndale, NY 12734-4317
Phone (646) 627-9963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20170201000128 NY Practitioner - Clinical Psychologist 3779708672 Practice locations: Ferndale, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Sullivan Ave
Suite 2 5
Ferndale, NY 12734-4317
Phone (646) 627-9963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013028-1NYMDPsychologist
013028NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1184654378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 JEFFERSON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314015531",
            "telephone_number": "646-627-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 JEFFERSON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314015531",
            "telephone_number": "646-627-9963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 E 98th St",
            "address_2": "6TH FLOOR- BOX#1240B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296501",
            "country_code": "US",
            "telephone_number": "212-241-2549",
            "fax_number": "212-369-6389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Sullivan Ave Ste 2-5",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "NY",
            "postal_code": "127344317",
            "country_code": "US",
            "telephone_number": "646-627-9963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHMAN",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013028-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.