B. Dawn Tepperman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3400 Issued in FL

Practice address

701 E Lincoln Ave
Melbourne, FL 32901-4646

Phone

(321) 725-6835

Fax

(321) 622-5403

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1417064734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 RIO PINO N",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329033732",
            "telephone_number": "321-725-6835",
            "fax_number": "321-622-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E LINCOLN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014646",
            "telephone_number": "321-725-6835",
            "fax_number": "321-622-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPERMAN",
        "first_name": "B. DAWN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn R Temple, CRNA
• Temples Holistic Wellness, LLC
• Alyanna Marie Tennant
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• Ashley Nicole Tepe, PHARM D
• Steven Terezakis
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• Sharon May Termini
• Terra Blue Wellness and Coaching
• Terrence a Cronin MD Facd Cho

• Clinical Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.

Verify at the official NPI Registry.