Active NPI
Teresa Correia, PSY.D.
- Psychologist
- Chester, MD
National Provider Identifier
1467758086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 06377
- Practice address
- 1563 Postal Rd Ste 3D
Chester, MD 21619-2318 - Phone
- (571) 210-5022
- Fax
- (571) 210-6012
- NPI assigned
- Jan 28, 2011
- Last updated
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 06377 | MD | Primary |
| Clinical Psychologist | 103TC0700X | 0810005375 | VA |
Addresses
Primary practice location
1563 Postal Rd Ste 3D
Chester, MD 21619-2318
Mailing address
915 Auckland Way
Chester, MD 21619-2293
Phone (571) 969-2367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1563 Postal Rd
Suite 3D
Chester, MD 21619-2318
Phone (571) 210-5022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005375 | VA | MD | Clinical Psychologist |
| 06377 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr T Correia LLC | Current | Accepting new patients |
Locations
1563 Postal Rd
Ste 3D
Chester, MD 21619
Phone (571) 210-5022
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.
-
- Adult Mental Health Clinic/Center
- Chester, MD
- NPI 1437806593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1467758086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 AUCKLAND WAY",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192293",
"telephone_number": "571-969-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 POSTAL RD STE 3D",
"city": "CHESTER",
"state": "MD",
"postal_code": "216192318",
"telephone_number": "571-210-5022",
"fax_number": "571-210-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREIA",
"first_name": "TERESA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06377",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005375",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.