Active NPI
Rodney C Teague, PHD
- Psychologist
- Notasulga, AL
National Provider Identifier
1457600058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 4284 Tallapoosa St
Notasulga, AL 36866-4510 - Phone
- (412) 657-7504
- NPI assigned
- Aug 29, 2012
- Last updated
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4284 Tallapoosa St
Notasulga, AL 36866-4510
Mailing address
4284 Tallapoosa St
Notasulga, AL 36866-4510
Phone (412) 657-7504
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1457600058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4284 TALLAPOOSA ST",
"city": "NOTASULGA",
"state": "AL",
"postal_code": "368664510",
"telephone_number": "412-657-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4284 TALLAPOOSA ST",
"city": "NOTASULGA",
"state": "AL",
"postal_code": "368664510",
"telephone_number": "412-657-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "RODNEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Notasulga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.