Individual provider Active NPI

Teena Denise Guenther, PH.D.

  • Clinical Psychologist
  • Williamstown, MA
National Provider Identifier
1386720738
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3654 Issued in NC
Practice address
10 Meadow St
Williamstown, MA 01267-3243
Phone
(413) 281-2580
Fax
(413) 499-4060
NPI assigned
Oct 28, 2006
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 7665 MA
Clinical Neuropsychologist 103G00000X 3654 NC
Clinical Psychologist 103TC0700X 014535 NY
Clinical Psychologist 103TC0700X 7665 MA
Clinical Psychologist 103TC0700X 3654 NC Primary

Addresses

Primary practice location

10 Meadow St
Williamstown, MA 01267-3243

Mailing address

PO Box 1800
Lanesboro, MA 01237-1800
Phone (413) 281-2580

Other identifiers 3

IdentifierTypeStateIssuer
32059OtherMAHEATH NEW ENGLAND
W06535OtherMABLUE CROSS BLUE SHIELD
110032138AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050127000663 MA Practitioner - Clinical Psychologist 2961452990 Practice locations: Pittsfield, MA; Williamstown, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Meadow St
Williamstown, MA 01267-3243
Phone (413) 281-2580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3654NCMDClinical Neuropsychologist
7665MAMDPhysical Therapy Assistant
014535NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Marcus MD PC Past Accepting new patients
Physical Therapy of Valatie, PC Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
Dorothy Mack, Licsw LLC PastSince Jun 16, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1386720738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1800",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012371800",
            "telephone_number": "413-281-2580",
            "fax_number": "413-499-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEADOW ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012673243",
            "telephone_number": "413-281-2580",
            "fax_number": "413-499-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTHER",
        "first_name": "TEENA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "7665",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "3654",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014535",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7665",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATH NEW ENGLAND",
            "identifier": "32059",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W06535",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110032138A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

Verify at the official NPI Registry.