Denise Ann Tervo, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-005582-L Issued in PA

Practice address

5655 Bryant St
Pittsburgh, PA 15206-1511

Phone

(412) 713-0717

NPI assigned

Mar 2, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2017 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1700914314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 BRYANT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061511",
            "telephone_number": "412-713-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 BRYANT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061511",
            "telephone_number": "412-713-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERVO",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-005582-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HIGHMARK PROVID",
            "identifier": "000585785",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PS PSYCHOLOGIST LICENSE",
            "identifier": "PS-0005582-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Roger Terry III, MD
• Kirsten Samantha Terry
• Tiffany Terry, RN
• Jean M Tersak, MD
• Brenden Craig Tervo-Clemmens, MS
• Kristen Kay Terwilliger, CRNA
• Nicholas Tesla, OD
• Robert Tessier, MD
• Robert Abraham Tessler, M.D.
• Brian Paul Tessmer, NCC, LPC

• Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.