Teresa Gingras

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-48616

Practice address

2412 Comptrollers CT
Prince Frederick, MD 20678-4340

Phone

(443) 295-3015

NPI assigned

Feb 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Platinum Therapeutics

  • Behavior Analyst
  • Prince Frederick, MD
  • NPI 1477293900
  NPD Authorized official

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1679039598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 COMPTROLLERS CT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784340",
            "telephone_number": "913-522-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 COMPTROLLERS CT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784340",
            "telephone_number": "443-295-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-16-18837",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-48616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483106300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asha George, M.D
• Lezer Getahun, LMSW
• Giant of Maryland LLC
• Katelynn Brienna Gilbert
• Kara Giles, RN
• Hilary W Ginter, MD
• Glenn G. Marinelli MD PA
• David M. Glenn
• Brendan Glowacki, FNP-BC, CRNP-FAMILY
• Harry Goldwater, LCSW-C

• Behavior Analyst in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.