Individual provider Active NPI

Teresa Rucker Helms, PSY.D.

  • Clinical Psychologist
  • Charlotte, NC
National Provider Identifier
1184951113
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3887 Issued in NC
Practice address
3111 Springbank LN
Suite G
Charlotte, NC 28226-3372
Phone
(704) 707-5713
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3887 NC Primary

Addresses

Primary practice location

3111 Springbank LN
Suite G
Charlotte, NC 28226-3372

Mailing address

3111 Springbank LN
Suite G
Charlotte, NC 28226-3372
Phone (704) 707-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100209000513 NC Practitioner - Clinical Psychologist 9234272535 Practice locations: Harrisburg, NC; Charlotte, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4350 Main St
Suite 213
Harrisburg, NC 28075-7448
Phone (704) 707-5713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3887NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1184951113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-707-5713",
            "fax_number": "704-540-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-707-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMS",
        "first_name": "TERESA",
        "middle_name": "RUCKER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.