Kristin Teasdale, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1829 Issued in KS

Practice address

3510 Clinton PL
Suite 320
Lawrence, KS 66047-2195

Phone

(785) 843-2429

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Kristin Teasdale PHD LLC

  • Community/Behavioral Health Agency
  • Lawrence, KS
  • NPI 1366932782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1487988333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 W 73RD TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 CLINTON PL",
            "address_2": "SUITE 320",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472195",
            "telephone_number": "785-843-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASDALE",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Pearl Taylor, PHARMD
• Mark Jackson Taylor, DPM
• Peggy Taylor, L.M.S.W.
• Samantha Taylor
• Teakwood Psychological Resources, P.a.
• Laura Jennifer Teenor, MA, CCC-SLP
• Kayla Jo Tefertiller
• Ajay Tejwani, MD
• Jackson Parker Temples
• Jamin Tenbrink, CRNA

• Counseling Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Counseling Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.