Zackery Alexander Tedder, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36417 Issued in TX

Practice address

11200 Menchaca Rd Ste 5
Austin, TX 78748-2747

Phone

(512) 200-2516

Fax

(512) 537-3673

NPI assigned

Dec 6, 2012

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Waypoint Clinical & Forensic Psychology

  • Clinical Psychologist
  • Austin, TX
  • NPI 1639061245
  NPD Authorized official

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1306181029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 MENCHACA RD STE 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482747",
            "telephone_number": "512-200-2516",
            "fax_number": "512-537-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 MENCHACA RD STE 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482747",
            "telephone_number": "512-200-2516",
            "fax_number": "512-537-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "ZACKERY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36417",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Technology Enhanced Learning and Living
• Techota of Texas LLC
• Techridge Oaks, LLC
• Tecs Texas PC
• Ted D Spears, MD, PA
• Sara Louise Tedford, PH.D.
• Heather Teel, LCSW
• Mary Laura Teeler, MD
• Samuel Stewart Teeple
• Matthew Teicher, M.D.

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.