Angelique R. Teeters, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7280 Issued in OH

Practice address

2330 Victory Pkwy
Ste. 500
Cincinnati, OH 45206-2839

Phone

(513) 221-2330

NPI assigned

May 22, 2015

Last updated

May 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelique.teeters.1@30520.direct.athenahealth.com

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.

• Solace Health Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Redwood City, CA
  • NPI 1801669924

  OH

  Medicare reassignment NPD
• Mercy Professional Services

  dba Fran A Repka

  • Counseling Psychologist
  • Cincinnati, OH
  • NPI 1093998338
  NPD (past)

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1851770887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 VICTORY PKWY",
            "address_2": "STE. 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062839",
            "telephone_number": "513-221-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 VICTORY PKWY",
            "address_2": "STE. 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062839",
            "telephone_number": "513-221-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETERS",
        "first_name": "ANGELIQUE",
        "middle_name": "R.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Leslie Tedford, M.D.
• Samuel Thomas Tedtman, ATC
• Mark Shau Huei Teen, M.D.
• Alyssa Jaleen Teepen, CNP
• Destiny Teepen
• Shannon Teeters, OTR/L, BCP
• Kirubel Tefera, M.D.
• Gedion B Teferra
• Taryn Tegarden, RN
• Bethlehem Tegegne

• Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.