Active NPI
Miranda Teel
- Clinical Child & Adolescent Psychologist
- La Plata, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6713 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sailor Health Medical PA | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.