Will Justin Teague, MA LLP CAADC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013275 Issued in MI

Practice address

30375 Northwestern Hwy
Ste. 200
Farmington Hills, MI 48334-3297

Phone

(248) 943-0084

NPI assigned

Dec 17, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Temple Behavioral Health, P.C.

  • Psychologist
  • Southfield, MI
  • NPI 1356725048
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1366807307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23636 MICHIGAN AVE # 547",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241910",
            "telephone_number": "248-943-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30375 NORTHWESTERN HWY",
            "address_2": "STE. 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343297",
            "telephone_number": "248-943-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "WILL",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "MA LLP CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Tchoungoua
• Tdlss LLC (Visiting Angels)
• Jalila Teachey
• Reginea Teachey
• Savanna Teachworth
• Shelby Teal
• Mary Ann Tealer
• Ariel Teamer
• Katrina Teart
• Trevon Teart

• Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.