Organization Active NPI

Milicia a. Tedder

  • Psychologist
  • Burlington, NC
National Provider Identifier
1306741947
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MILICIA A. TEDDER
Practice address
124 S Mebane St Ste B
Burlington, NC 27215-5942
Phone
(336) 569-0420
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Milicia Tedder
Title
Owner
Phone
(336) 569-0420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

124 S Mebane St Ste B
Burlington, NC 27215-5942

Mailing address

4093 Dunkirk Dr
Burlington, NC 27215-0106

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1306741947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4093 DUNKIRK DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272150106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MEBANE ST STE B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155942",
            "telephone_number": "336-569-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILICIA A. TEDDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "MILICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-569-0420"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.