Active NPI
Deirdre Anne Teaford, PH.D.
- School Psychologist
- Wilmington, DE
National Provider Identifier
1457331407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 6580607
- Practice address
- 1502 Spruce Ave
Wilmington, DE 19805-2148 - Phone
- (302) 992-5574
- NPI assigned
- Jan 18, 2006
- Last updated
- Oct 21, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2294 | NC | |
| Psychologist | 103T00000X | 3212 | CO | |
| School Psychologist | 103TS0200X | 6580607 | PA | Primary |
| School Psychologist | 103TS0200X | 49984 | CO |
Addresses
Primary practice location
1502 Spruce Ave
Wilmington, DE 19805-2148
Mailing address
1502 Spruce Ave
Wilmington, DE 19805-2148
Phone (302) 992-5574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000355 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2294 | NC | MD | Counseling Psychologist |
| 49984 | CO | MD | School Psychologist |
| 6580607 | PA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memory Bridging Incorporated | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- Parker, CO
- NPI 1386827293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1457331407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 SPRUCE AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052148",
"telephone_number": "302-992-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 SPRUCE AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052148",
"telephone_number": "302-992-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAFORD",
"first_name": "DEIRDRE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2294",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "3212",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PA",
"license": "6580607",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CO",
"license": "49984",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000355",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
- Muhammad Tayyeb, MD
- Nicole Tazewell, NP
- TBS Group (The Brace Specialists)
- Anique Tchio
- TD Advanced Practice Provider Services (Optimal Weight Loss)
- Sarah Barat Teaney, LCSW
- Techforce Counseling & Community Services Inc (Tfccs)
- Rory Tedrick, NURSE PRACTITIONER
- Christina Paidas Teefey, M.D.
- Joseph Tegtmeier, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.