Active NPI
Tedd R. Habberfield, PH.D.
- Clinical Psychologist
- Williamsville, NY
National Provider Identifier
1316928245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011033
- Practice address
- 37 S Cayuga Rd
Williamsville, NY 14221-6705 - Phone
- (716) 626-7492
- Fax
- (716) 626-4496
- NPI assigned
- Nov 8, 2005
- Last updated
- Sep 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 011033 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 011033 | NY | |
| Clinical Psychologist | 103TC0700X | 011033 | NY | Primary |
| Family Psychologist | 103TF0000X | 011033 | NY |
Addresses
Primary practice location
37 S Cayuga Rd
Williamsville, NY 14221-6705
Mailing address
37 S Cayuga Rd
Williamsville, NY 14221-6705
Phone (716) 626-7492
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20207801 | Other | NY | EXCELLUS HEALTH |
| 6104050 | Other | NY | INDEPENDENT HEALTH |
| 000511263001 | Other | NY | HEALTH NOW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111215000106 | NY | Practitioner - Clinical Psychologist | 9032384318 | Practice locations: Williamsville, NY |
| I20190618002981 | VT | Practitioner - Clinical Psychologist | 9032384318 | Practice locations: Bennington, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
160 Benmont Ave
Suite 20
Bennington, VT 05201-1842
Phone 8024423520202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011033 | NY | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SG Chiropractic Health Care, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Elma, NY
- NPI 1780030809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1316928245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 S CAYUGA RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216705",
"telephone_number": "716-626-7492",
"fax_number": "716-626-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 S CAYUGA RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216705",
"telephone_number": "716-626-7492",
"fax_number": "716-626-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABBERFIELD",
"first_name": "TEDD",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "011033",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "011033",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011033",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "011033",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS HEALTH",
"identifier": "20207801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "6104050",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000511263001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.