Tiah L. Terranova, PSY.D., LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3686 Issued in CO

Practice address

3194 Fairmont Dr Unit 11B
Wellington, CO 80549-1891

Phone

(970) 515-3646

Fax

(970) 221-0982

NPI assigned

Aug 28, 2009

Last updated

Jan 7, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Surviving to Thriving LLC

  • Clinical Psychologist
  • Wellington, CO
  • NPI 1346901360
  Authorized official Same address or phone

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1891928479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 FAIRMONT DR UNIT 11B",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805491891",
            "telephone_number": "970-515-3646",
            "fax_number": "970-221-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 FAIRMONT DR UNIT 11B",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805491891",
            "telephone_number": "970-515-3646",
            "fax_number": "970-221-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANOVA",
        "first_name": "TIAH",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04582870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surviving to Thriving LLC
• Tanner Autism Services of Colorado
• Bryan Scott Tanner, BCBA
• Susan Emerald Tanner
• Sherry Teppo
• Natasha Trujillo, LPC
• Megan L Twarling, MS, CCC-SLP
• Nichole Vigil
• Dolores Pauline Villa
• Waechterfamily LLC

• Clinical Psychologist in Wellington, CO
• Providers in Wellington, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.