Individual provider Active NPI

Teresa Correia, PSY.D.

  • Psychologist
  • Chester, MD
National Provider Identifier
1467758086
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
06377 Issued in MD
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307000071 MD Practitioner - Clinical Psychologist 8123412251 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0810005375VAMDClinical Psychologist
06377MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr T Correia LLC CurrentSince Feb 18, 2025 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.

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

Verify at the official NPI Registry.