Julie Dawn Teater, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39-002 Issued in MS

Practice address

1907 Pass Rd
Suite G
Biloxi, MS 39531-4101

Phone

(228) 594-9010

Fax

(228) 594-9012

NPI assigned

Aug 16, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Harrison Hma, Inc.

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1114965449
  NPD (past)
• Nursing Home Psychological Services, LLC

  • Psychologist
  • Poplarville, MS
  • NPI 1295952992
  NPD (past)
• Painstop Spine Clinic, LLC

  • Interventional Pain Medicine Physician
  • Biloxi, MS
  • NPI 1063715746
  NPD (past)
• Painstop Spine Clinic, LLC

  • Interventional Pain Medicine Physician
  • Pascagoula, MS
  • NPI 1558666149
  NPD (past)
• South Coast Pathology Services LTD

  • Specialist
  • Gulfport, MS
  • NPI 1407967995
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1467565549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 PASS RD",
            "address_2": "SUITE G",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314101",
            "telephone_number": "228-594-9010",
            "fax_number": "228-594-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 PASS RD",
            "address_2": "SUITE G",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314101",
            "telephone_number": "228-594-9010",
            "fax_number": "228-594-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEATER",
        "first_name": "JULIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "39-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX  INDENTIFICATION #",
            "identifier": "562344223",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Mark Taylor, LPTA
• Shavonne Taylor, LMSW
• Tahera Sharonda Taylor, OT
• Ryan Teague, APRN
• Team Adaptive, Inc
• Thomas Grafton Teets, DDS
• Tender Hearts Homecare
• Tender Hearts Homecare
• Tenet Gulf Coast Imaging
• Tensegrity Physicians and Surgeons, PLLC

• Clinical Psychologist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.