Active NPI
Beverlee Ann Tegeder, PSY.D.
- Psychologist
- Toms River, NJ
National Provider Identifier
1306860440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3472
- Practice address
- 509 Main Street
Toms River, NJ 08753 - Phone
- (732) 244-4440
- Fax
- (732) 341-4119
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3472 | NJ | Primary |
Addresses
Primary practice location
509 Main Street
Toms River, NJ 08753
Mailing address
509 Main Street
Toms River, NJ 08753
Phone (732) 244-4440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3472 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306860440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MAIN STREET",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "732-244-4440",
"fax_number": "732-341-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MAIN STREET",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "732-244-4440",
"fax_number": "732-341-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEGEDER",
"first_name": "BEVERLEE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "3472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.