Teresa Deer, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2518-057 Issued in WI

Practice address

5017 Green Bay Rd Ste 130
Kenosha, WI 53144-1782

Phone

(262) 672-1334

Fax

(855) 277-2812

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuropsychological Consultants IncGroup PAC ID 0648291401, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Neuropsychological Consultants Inc

  • Psychologist
  • Kenosha, WI
  • NPI 1013059187
  Medicare reassignment Care Compare group NPD Authorized official
• Neuropsychological Services PC

  • Clinical Neuropsychologist
  • Arlington Heights, IL
  • NPI 1205882313
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1477515724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 GREEN BAY RD STE 130",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441782",
            "telephone_number": "262-672-1334",
            "fax_number": "855-277-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 GREEN BAY RD STE 130",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441782",
            "telephone_number": "262-672-1334",
            "fax_number": "855-277-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEER",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "2518-057",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2518-057",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-006765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "0001635716",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn'S Early Light LLC
• Kirsten Leigh De Steffen, MA/CCC-SLP
• Jamie Deal
• Samantha Rae Debartolo
• Tyler G Dechiara
• Lisa M Defazio, M.S.W., L.C.S.W.
• Michael A Defazio, MSSW LICSW CADC III
• Paul Michael Defazio, MSW
• Danielle Defreese, PSYD
• Rebecca Degener, PT

• Psychologist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.

Verify at the official NPI Registry.