William Leslie Tedford, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.058260 Issued in OH

Practice address

3001 Highland Ave.
Suite D
Cincinnati, OH 45219-2315

Phone

(513) 961-8830

Fax

(513) 487-3770

NPI assigned

Mar 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wright State University Boonshoft School of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Carina E. Behrens, M.D., LLC

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1528593290
  NPD (past)
• Fred Melowsky, PHD, Inc

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1588938781
  NPD (past)
• Promethean Mind Health LLC

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1699633958
  NPD (past)
• Tina Kaminsky, PH.D., Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1801162748
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1326165267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HIGHLAND AVE.",
            "address_2": "SUITE D.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192315",
            "telephone_number": "513-961-8830",
            "fax_number": "513-487-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HIGHLAND AVE.",
            "address_2": "SUITE D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192315",
            "telephone_number": "513-961-8830",
            "fax_number": "513-487-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDFORD",
        "first_name": "WILLIAM",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35058260",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35058260",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.058260",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.058260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted M. Lum, M.D. Inc
• Kristina A Tedesco, M.ED., LPCC-S
• Maria Tedesco
• Paige Ann Tedesco, RPH
• Anne Tedford
• Samuel Thomas Tedtman, ATC
• Mark Shau Huei Teen, M.D.
• Alyssa Jaleen Teepen, CNP
• Destiny Teepen
• Angelique R. Teeters, PSYD

• Psychiatry Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.
• 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.

Verify at the official NPI Registry.