Laurie Terres, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00433700 Issued in NJ

Practice address

43 W Front St Ste 11
Red Bank, NJ 07701-1600

Phone

(732) 556-7404

Fax

(732) 456-5071

NPI assigned

Oct 20, 2006

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

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Laurie Terres PSYD, LLC

  • Clinical Psychologist
  • Red Bank, NJ
  • NPI 1164295663

  Clinical, NJ

  Medicare reassignment NPD Authorized official
• Julie Daley, LCSW LLC

  • Adult Mental Health Clinic/Center
  • Red Bank, NJ
  • NPI 1598530719
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1710069588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST STE 11",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011600",
            "telephone_number": "732-556-7404",
            "fax_number": "732-456-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST STE 11",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011600",
            "telephone_number": "732-556-7404",
            "fax_number": "732-456-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRES",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "35SI00433700",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00433700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony A. Testa, DMD
• Miriam Tetelbom, MD
• Michael Teti, LSW, LCADC
• Anuradha Thalasila, M.D.

• All providers in Red Bank, NJ
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.