Individual provider Active NPI

Miranda Teel

  • Clinical Child & Adolescent Psychologist
  • La Plata, MD
National Provider Identifier
1396263471
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
6100 Radio Station Rd
La Plata, MD 20646-3314
Phone
(301) 609-9887
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

6100 Radio Station Rd
La Plata, MD 20646-3314

Mailing address

PO Box 2924
La Plata, MD 20646-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL, GA, TX, OH, NC6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20251204000488 DC Practitioner - Clinical Psychologist 6204329618 Reassigns benefits to 1 organization
I20251205000338 FL Practitioner - Clinical Psychologist 6204329618 Reassigns benefits to 1 organization
I20251205001506 GA Practitioner - Clinical Psychologist 6204329618 Reassigns benefits to 1 organization
I20251208001411 TX Practitioner - Clinical Psychologist 6204329618 Reassigns benefits to 1 organization
I20251211001660 OH Practitioner - Clinical Psychologist 6204329618 Reassigns benefits to 1 organization
I20260116002407 NC Practitioner - Clinical Psychologist 6204329618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

1372 Peachtree St NE
Ofc 221
Atlanta, GA 30309-3248
Phone (240) 201-3386

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
Phone (786) 269-0333

2323 S Voss Rd
Suite 203J
Houston, TX 77057-3814
Phone (240) 201-3386

26250 Euclid Ave
Ofc 910
Cleveland, OH 44132-3305
Phone (240) 201-3386

3117 Whiting Ave
Suite 5
Charlotte, NC 28205-1648
Phone (240) 201-3386

4445 Willard Ave
Suite 600
Chevy Chase, MD 20815-3786
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6713NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sailor Health Medical PA CurrentSince Sep 20, 2025 Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

201 S Biscayne Blvd
Miami, FL 33131
Phone (833) 378-2552

3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837

1372 Peachtree St NE
Ofc 221
Atlanta, GA 30309

4445 Willard Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 921-4287

3117 Whiting Ave
Charlotte, NC 28205
Phone (980) 243-5595

2323 S Voss Rd
Ste 203J
Houston, TX 77057

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1396263471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2924",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 RADIO STATION RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463314",
            "telephone_number": "301-609-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.