JAMIE TEDDER PHD
NPI 1255057154
Psychologist - Clinical in Johnson City, TN

Q: What is Jamie Tedder's NPI number?

The NPI number for Jamie Tedder is 1255057154. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Q: What is Jamie Tedder's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Tedder was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since October 13, 2022

809 LAMONT ST BLDG 162, JOHNSON CITY, TN 37604(423) 926-1171 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jamie Tedder Phd NPPES

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

JAMIE TEDDER PHD (NPI 1255057154) is an individual clinical provider in Johnson City, Tennessee, licensed in Virginia (0810007969) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1255057154

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJAMIE TEDDERCredential: PHD

Location Address809 LAMONT ST BLDG 162Johnson City, TN 37604-5453

Mailing Address809 Lamont St Bldg 162Johnson City, TN 37604-5453

Phone(423) 926-1171

Sole ProprietorNo

Enumeration DateOctober 13, 2022

NPPES CertifiedOctober 12, 2022

✔ NPI 1255057154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810007969

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

809 LAMONT ST BLDG 162, Johnson City, TN 37604

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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 Jamie Tedder's NPI number?

The NPI number for Jamie Tedder is 1255057154. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Jamie Tedder located?

Jamie Tedder practices at 809 Lamont St Bldg 162, Johnson City, TN 37604. The listed phone number is (423) 926-1171.

What is Jamie Tedder's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jamie Tedder was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.