Tedd A Stephens, EDD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

CMT0000000186 Issued in TN

Practice address

2112 N Roan St FL 6
Johnson City, TN 37601-2519

Phone

(423) 928-1379

Fax

(423) 928-1379

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr Tedd Stephens Edd

  • Psychologist
  • Johnson City, TN
  • NPI 1265500615
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467476150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4644",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376024644",
            "telephone_number": "423-928-1379",
            "fax_number": "423-928-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N ROAN ST FL 6",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012519",
            "telephone_number": "423-928-1379",
            "fax_number": "423-928-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "TEDD",
        "middle_name": "A",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001029",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "CMT0000000186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3688713",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen C Steffey, PA
• Step One Medical Associates PC
• Caleb Stephens, PA-C
• Caroline Derrick Stephens, PA
• Shane Stephens
• Page S Sterling, APRN
• Amanda Brooke Stevens, FNP
• Larry Michael Stevens II, APN
• William Stevens
• Shounda Michelle Stevenson, BS

• Clinical Child & Adolescent Psychologist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.