Tatum D. Teeple, Ms, TLLP, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TATUM D. TEEPLE, MS, TLLP, PLLC

Doing business as

Tatum D. Teeple, MS, MLP

Practice address

534 Fountain St NE
Grand Rapids, MI 49503-3422

Phone

(616) 456-1178

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Tatum Daye Teeple, MS, MLP

Title

Sole Member

Phone

(567) 525-0050

Specialties & licenses 1

Addresses

Other names 1

• Tatum D. Teeple, MS, MLP Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatum Daye Wilson

  • Psychologist
  • Grand Rapids, MI
  • NPI 1265108401
  NPD

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1801686167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 VALLA CT SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182452",
            "telephone_number": "567-525-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 FOUNTAIN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033422",
            "telephone_number": "616-456-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Medical Park Dr SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463607",
            "country_code": "US",
            "telephone_number": "616-942-9610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TATUM D. TEEPLE, MS, TLLP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "TEEPLE",
        "authorized_official_first_name": "TATUM",
        "authorized_official_middle_name": "DAYE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "567-525-0050",
        "authorized_official_credential": "MS, MLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tatum D. Teeple, MS, MLP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tatum D. Teeple, MS, MLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa M. Tartaglione, DDS
• Brelin Tasker
• Christian Tate
• Tatiana Richardson Therapy Services, LLC
• Shae Tatigian
• Joann Tatum
• Kristen Tavalieri, DNP, NP, FNP-C
• Erica Marie Tavares, MD
• Amy Tavarez
• Ellen Marie Tavarone, DDS

• Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.