DR. TERA JEAN JANSEN M.A., PSY.D.
NPI 1295118941
Psychologist in New York, NY

Active since June 30, 2015PECOS Enrolled
928 BROADWAY, SUITE 300, OFFICE #10, NEW YORK, NY 10010(917) 403-4268(612) 999-1792 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tera Jean Jansen M.a., Psy.d. NPPES

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

DR. TERA JEAN JANSEN M.A., PSY.D. (NPI 1295118941) is an individual psychologist in New York, New York, licensed in New York (025499-01) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1295118941
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TERA JEAN JANSENCredential: M.A., PSY.D.
Location Address928 BROADWAY, SUITE 300, OFFICE #10New York, NY 10010
Mailing Address928 Broadway, Suite 300, Office #10New York, NY 10010 · (917) 403-4268
Fax(612) 999-1792
Sole ProprietorYes
Enumeration DateJune 30, 2015
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
NPI 1295118941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NY · 025499-01 Licensed in MN · LP6091
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
928 BROADWAY, New York, NY 10010

Secondary Practice Location 1

Location 12626 E 82nd St Ste 225BBloomington, MN 55425-1301 · Phone (917) 403-4268

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. Tera Jean Jansen M.a., Psy.d. 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 20

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

Acupuncturist
928 BROADWAY, SUITE #1200
NEW YORK, NY 10010
Psychologist (Clinical)
928 BROADWAY, SUITE #803
NEW YORK, NY 10010
Social Worker (Clinical)
928 BROADWAY
NEW YORK, NY 10010
Social Worker (Clinical)
928 BROADWAY, SUITE 403
NEW YORK, NY 10010
Chiropractor
928 BROADWAY, SUITE 600
NEW YORK, NY 10010
Social Worker (Clinical)
928 BROADWAY
NEW YORK, NY 10010
Dermatology
928 BROADWAY, SUITE 204
NEW YORK, NY 10010
Social Worker
928 BROADWAY
NEW YORK, NY 10010

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 Tera Jansen's NPI number?

The NPI number for Tera Jansen is 1295118941. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Tera Jansen located?

Tera Jansen practices at 928 Broadway Suite 300, Office #10, New York, NY 10010. The listed phone number is (917) 403-4268.

What is Tera Jansen's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Tera Jansen enrolled in Medicare?

Yes. Tera Jansen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tera Jansen was last updated on July 17, 2023. 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.