Kelly Ann Teufel

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023983 Issued in NY

Practice address

5259 Parkside Dr
Canandaigua, NY 14424-7507

Phone

(585) 393-6609

NPI assigned

Jun 12, 2023

Last updated

Jun 12, 2023By the provider in NPPES

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 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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• Monroe Ddso Clinic Pittsford

  • Developmental Disabilities Clinic/Center
  • Pittsford, NY
  • NPI 1063546778
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1285318188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 HOWLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 PARKSIDE DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247507",
            "telephone_number": "585-393-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUFEL",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Telehany, DDS
• Kim Anthony Tenreiro, R.PH.
• Jacqui Tessena, RN
• Matthew Michael Tessena, D.O.
• Lauren Teti
• Meaghan Patricia Thaine, FNP-C
• Raveendran Thangavel, PT
• The Frederick Ferris Thompson Hospital
• The Frederick Ferris Thompson Hospital
• The Frederick Ferris Thompson Hospital (UR Medicine Thompson Health Canandaigua Medical Group Pharmacy)

• Clinical Psychologist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.