Teresa Ingram Schaefer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

03590 Issued in MD

Practice address

6602 Church Hill Rd
Suite 500
Chestertown, MD 21620-2310

Phone

(410) 778-5550

Fax

(410) 778-0984

NPI assigned

Aug 22, 2006

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

Other identifiers 9

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chester River Behavioral Health, LLCGroup PAC ID 2860469418, 7 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.

• Chester River Behavioral Health, LLC

  • Clinical Psychologist
  • Chestertown, MD
  • NPI 1487676524
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639285380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 CHURCH HILL RD",
            "address_2": "SUITE 500",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202310",
            "telephone_number": "410-778-5550",
            "fax_number": "410-778-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 CHURCH HILL RD",
            "address_2": "SUITE 500",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202310",
            "telephone_number": "410-778-5550",
            "fax_number": "410-778-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "TERESA",
        "middle_name": "INGRAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS ID#",
            "identifier": "38923",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH ID#",
            "identifier": "61-56554",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROS LOCAL GROUP #",
            "identifier": "LT86-605427-02",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NAT ID#",
            "identifier": "T418-0006",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI ID#",
            "identifier": "276609",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO ID#",
            "identifier": "720407",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "7125205",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PSYCH SYSTEM ID#",
            "identifier": "106333",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS MIDATLANTIC",
            "identifier": "415764",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Agnes Cooper Robinson, LCSW-C
• Susan Kosnik Ross, M.D.
• Terra D Rudd, PA
• Mary Elizabeth Sabasteanski, PA-C
• Heather Satterfield
• Robert Schreiber, MD
• Thomas Edward Schreppler, D.C.
• Seglah Inc
• Seidenberg Protzko Eye Associates
• Kristina Rae Semonick, FNP-C

• Clinical Psychologist in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.