Individual provider Active NPI

Teresa M. Anderson, MD

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1497966790
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.091796 Issued in OH
Practice address
2567 Erie Ave
Cincinnati, OH 45208-2018
Phone
(513) 321-1753
Fax
(513) 321-9888
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.091796 OH Primary

Addresses

Primary practice location

2567 Erie Ave
Cincinnati, OH 45208-2018

Mailing address

2567 Erie Ave
Cincinnati, OH 45208-2018
Phone (513) 321-1753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.091796OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa M Anderson MD Inc Psychiatry Current Accepting new patients
Teresa M Anderson MD Inc Current Accepting new patients

Locations

8520 E Kemper Rd
Ste 100
Cincinnati, OH 45249
Phone (513) 321-1753

Interoperability endpoints

  • Direct secure messaging: teresa.anderson.1@32067.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1497966790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082018",
            "telephone_number": "513-321-1753",
            "fax_number": "513-321-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082018",
            "telephone_number": "513-321-1753",
            "fax_number": "513-321-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TERESA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.091796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.