Active NPI
Teena Denise Guenther, PH.D.
- Clinical Psychologist
- Williamstown, MA
National Provider Identifier
1386720738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3654
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32059 | Other | MA | HEATH NEW ENGLAND |
| W06535 | Other | MA | BLUE CROSS BLUE SHIELD |
| 110032138A | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3654 | NC | MD | Clinical Neuropsychologist |
| 7665 | MA | MD | Physical Therapy Assistant |
| 014535 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Adult Mental Health Clinic/Center
- Pittsfield, MA
- NPI 1578150439
-
- Multi-Specialty Clinic/Center
- Hudson, NY
- NPI 1417371519
-
- Psychiatric/Mental Health Nurse Practitioner
- Valatie, NY
- NPI 1003876020
-
- Physical Therapy Clinic/Center
- Valatie, NY
- NPI 1295917748
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.