Individual provider Active NPI

Teresa Maria Turner

  • Clinical Psychologist
  • Ferndale, MI
National Provider Identifier
1609165968
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018921 Issued in MI
Practice address
23231 Woodward Ave
Ferndale, MI 48220-1361
Phone
(248) 703-4411
NPI assigned
Apr 7, 2011
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301018921 MI Primary

Addresses

Primary practice location

23231 Woodward Ave
Ferndale, MI 48220-1361

Mailing address

23231 Woodward Ave
Ferndale, MI 48220-1361
Phone (248) 703-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20220526001912 MI Practitioner - Clinical Psychologist 5294113676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairsky Foundation Psychologist CurrentSince Apr 18, 2022 Accepting new patients
Motivational Minds Psychological Services PLLC Clinical Current Accepting new patients

Locations

23231 Woodward Ave
Ferndale, MI 48220
Phone (248) 565-6556

464 N Main St
Plymouth, MI 48170
Phone (734) 255-3439

418 N Main St
Fl 2
Royal Oak, MI 48067
Phone (586) 786-8080

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, 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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1609165968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23231 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201361",
            "telephone_number": "248-703-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23231 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201361",
            "telephone_number": "248-703-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TERESA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.