Carmen Marie Tebbe, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1073 Issued in OK

Practice address

1225 W Main St Ste 102
Norman, OK 73069-6851

Phone

(405) 620-4127

NPI assigned

Dec 10, 2009

Last updated

Dec 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 11, 2020 through Feb 11, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Ames Psychological Wellness Center, PLC

  • Counseling Psychologist
  • Ames, IA
  • NPI 1861931131
  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1649509266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 36TH AVE SW APT 531",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725051",
            "telephone_number": "405-620-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696851",
            "telephone_number": "405-620-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBBE",
        "first_name": "CARMEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Teal
• Team Clinics Ah LLC
• Team Clinics Ah LLC
• Teaming With Life Counseling LLC
• Isabelle Tearse
• Elijah Joseph Tedder, PTA
• Sandra L Tedder, PHD
• Dustin Shawn Tedesco, MD
• Lacie Teehee
• Sarah Dawn Teet, DPH

• Psychologist in Norman, OK
• Providers in Norman, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.