Eric Joseph Teeters, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1530 Wilson Blvd Ste 520
Arlington, VA 22209-2419

Phone

(202) 792-9087

NPI assigned

Aug 30, 2017

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Oct 7, 2021 through Oct 7, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Healthy Synergy Psychological Services, LLC

  • Clinical Psychologist
  • Germantown, MD
  • NPI 1184970733
  NPD (past)
• Healthy Synergy Psychological Services, LLC

  • Clinical Psychologist
  • Germantown, MD
  • NPI 1578933206
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1407374432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 WILSON BLVD STE 520",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092419",
            "telephone_number": "202-792-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 WILSON BLVD STE 520",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092419",
            "telephone_number": "202-792-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETERS",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jullian Taylor, OPERATING MANAGER
• Takecia Michelle Taylor, M.ED, CSAC, QMHP
• Taylor Alexandra Taylor
• Sirinan Tazen, M.D.
• Jean-Gilles Tchabo, M.D.
• Asteway Tefferi
• Samar Lida Tehrani, CSAC
• Wintana T Tekleab, PHARMD
• Jacqueline Kathy Tellez
• Jason Teng, MD

• Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.