TEDD A STEPHENS EDD NPI 1467476150

NPI Information

  • NPI: 1467476150
  • Provider Name: TEDD A STEPHENS, EDD
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2112 N ROAN ST FL 6
    JOHNSON CITY, TN
    ZIP 37601
  • Phone: (423) 928-1379

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NPI Details

Tedd A Stephens, EDD is a clinical child and adolescent psychologist in Johnson City, TN. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Tedd A Stephens, EDD NPI is 1467476150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2112 N ROAN ST FL 6
JOHNSON CITY, TN
ZIP 37601-519
Phone: (423) 928-1379
Fax: (423) 928-1379

The NPI 1467476150 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/26/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalP0000001029TENNESSEENo
2103TC2200XPsychologistClinical Child & AdolescentCMT0000000186TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13688713MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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