Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TEENA PERVAIZ MD
NPI 1053939116
Psychologist - Clinical Child & Adolescent in Richland, WA

Active since July 06, 2020PECOS Enrolled
112 COLUMBIA POINT DR STE 101, RICHLAND, WA 99352(509) 942-2023(509) 942-2640 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 4, 2026, Jul 28, 2023, Jul 6, 2020 (3 updates tracked since 2020).

About Dr. Teena Pervaiz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TEENA PERVAIZ MD (NPI 1053939116) is an individual clinical child & adolescent provider in Richland, Washington, licensed in Washington (MD.70069082) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1053939116
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. TEENA PERVAIZCredential: MD
Location Address112 COLUMBIA POINT DR STE 101Richland, WA 99352-4390
Mailing Address112 Columbia Point Dr Ste 101Richland, WA 99352-4390 · (509) 942-2023 · Fax (509) 942-2640
Fax(509) 942-2640
Sole ProprietorNo
Enumeration DateJuly 6, 2020
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
NPI 1053939116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in WA · MD.70069082
Definition
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.
112 COLUMBIA POINT DR STE 101, Richland, WA 99352

Secondary Practice Location 1

Location 11919 Elm St NFargo, ND 58102-2416 · Phone (701) 293-4109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Teena Pervaiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
112 COLUMBIA POINT DR STE 101
RICHLAND, WA 99352
Nurse Practitioner (Psychiatric/Mental Health)
112 COLUMBIA POINT DR STE 101
RICHLAND, WA 99352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teena Pervaiz's NPI number?

The NPI number for Teena Pervaiz is 1053939116. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Teena Pervaiz located?

Teena Pervaiz practices at 112 Columbia Point Dr Ste 101, Richland, WA 99352. The listed phone number is (509) 942-2023.

What is Teena Pervaiz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Teena Pervaiz enrolled in Medicare?

Yes. Teena Pervaiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teena Pervaiz was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.