TERESA DAWN FREDERICK APRN
NPI 1235902065
Psychiatry & Neurology - Psychiatry in Hooksett, NH

Active since November 02, 2023Opted out of Medicare · through Dec 18, 2027
11 KIMBALL DR, HOOKSETT, NH 03106(603) 824-3555 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, Nov 2, 2023 (2 updates tracked since 2023).

About Teresa Dawn Frederick Aprn NPPES

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

TERESA DAWN FREDERICK APRN (NPI 1235902065) is an individual psychiatry provider in Hooksett, New Hampshire, licensed in New Hampshire (049298-23) and active in the NPI registry since November 2023. She has opted out of Medicare through December 18, 2027 and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1235902065
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameTERESA DAWN FREDERICKCredential: APRN
Location Address11 KIMBALL DRHooksett, NH 03106-2603
Mailing Address11 Kimball DrHooksett, NH 03106-2603
Sole ProprietorYes
Enumeration DateNovember 2, 2023
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1235902065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NH · 049298-23
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11 KIMBALL DR, Hooksett, NH 03106

Secondary Practice Location 1

Location 120 Foundry St Ste 230Concord, NH 03301-5419 · Phone (603) 321-9265

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Teresa Dawn Frederick Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2023 through December 18, 2027.

Opt-Out Effective DateDecember 18, 2023
Opt-Out In Effect ThroughDecember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Physical Therapist
11 KIMBALL DR, UNIT 128
HOOKSETT, NH 03106
Nurse Practitioner (Psychiatric/Mental Health)
11 KIMBALL DR
HOOKSETT, NH 03106
Nurse Practitioner (Adult Health)
11 KIMBALL DR
HOOKSETT, NH 03106
Internal Medicine
11 KIMBALL DR, ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE
HOOKSETT, NH 03106
Clinic/Center (Adult Day Care)
11 KIMBALL DR
HOOKSETT, NH 03106
Clinic/Center (Adult Day Care)
11 KIMBALL DR, UNIT 110
HOOKSETT, NH 03106
Physical Therapist
11 KIMBALL DR, SUITE 128
HOOKSETT, NH 03106
Internal Medicine
11 KIMBALL DR
HOOKSETT, NH 03106

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 Teresa Frederick's NPI number?

The NPI number for Teresa Frederick is 1235902065. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Where is Teresa Frederick located?

Teresa Frederick practices at 11 Kimball Dr, Hooksett, NH 03106. The listed phone number is (603) 824-3555.

What is Teresa Frederick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Teresa Frederick enrolled in Medicare?

No. Teresa Frederick has opted out of Medicare through December 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Teresa Frederick accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Teresa Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Frederick was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.