Erin Terada, PSYD, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008557 Issued in IL

Practice address

800 E Northwest Hwy
Palatine, IL 60074-6511

Phone

(847) 579-9355

NPI assigned

Dec 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Me Psychology PCGroup PAC ID 8820427966, 4 clinicians

Practice addresses (Care Compare)

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.

• Modern Me Psychology PC

  • Clinical Psychologist
  • Roselle, IL
  • NPI 1841830338

  Professional

  Medicare reassignment Care Compare group NPD
• Kokoro Psychological and Consultation Services, PLLC

  • Psychologist
  • Chicago, IL
  • NPI 1851244917
  NPD Authorized official
• TMS Clinical Services PLLC

  • Psychiatry Physician
  • Oak Brook, IL
  • NPI 1285273540
  NPD

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1255600599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746511",
            "telephone_number": "847-579-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746511",
            "telephone_number": "847-579-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERADA",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008557",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Tatham, R.N, APN, NPC
• Thomas J Tax, DDS
• Kristin Alyssa Tayag
• Tea With Tara PLLC
• Tennessee Foot Consultants P.C. Inc.
• Lynne Terranova Holland, LCSW
• Jagravi Thakkar
• Trichinopoly Aiyasawmy Thayumanasundaram, M.D
• The Advocates International Corporation, Inc.
• Therasys, Inc.

• Professional Counselor in Palatine, IL
• Providers in Palatine, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.