Albert Gordon Teichner, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

800 Issued in SC

Practice address

222 W Coleman Blvd
Mount Pleasant, SC 29464-3588

Phone

(843) 849-9913

Fax

(843) 881-6876

NPI assigned

Apr 29, 2006

Last updated

Apr 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charleston Neuropsychology LLC

  • Clinical Psychologist
  • Mount Pleasant, SC
  • NPI 1336660315
  NPD (past) Authorized official

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

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1336106509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W COLEMAN BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643588",
            "telephone_number": "843-849-9913",
            "fax_number": "843-881-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W COLEMAN BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643588",
            "telephone_number": "843-849-9913",
            "fax_number": "843-881-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICHNER",
        "first_name": "ALBERT",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-29",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSO324",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Taylor
• Jessica Taylor
• Margaret Moss Taylor, M.ED. LPC
• Steven James Taylor, MD
• Teeth Specialty Center LLC
• Sarah Temple
• Tenet Disc Imaging, Inc. (East Cooper Imaging)
• Tenet South Carolina Lowcountry OB GYN, LLC
• Melanie Terrill, N.P.
• Delinda H. Terry, M.D.

• Clinical Psychologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.