DR. DOUGLAS ALAN TEBOR M.D.
NPI 1306064514
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mclean, VA

Q: What is Douglas Tebor's NPI number?

The NPI number for Douglas Tebor is 1306064514. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Douglas Tebor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Tebor was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 23, 2007PECOS Enrolled

6723 WHITTIER AVE, SUITE 405-C, MCLEAN, VA 22101(703) 908-9230(703) 908-8834 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Douglas Alan Tebor M.d. NPPES

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

DR. DOUGLAS ALAN TEBOR M.D. (NPI 1306064514) is an individual child & adolescent psychiatry provider in Mclean, Virginia, licensed in Virginia (0101044431) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306064514

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. DOUGLAS ALAN TEBORCredential: M.D.

Location Address6723 WHITTIER AVE, SUITE 405-CMclean, VA 22101-4522

Mailing Address6723 Whittier Ave, Suite 405-cMclean, VA 22101-4522 · (703) 908-9230 · Fax (703) 908-8834

Phone(703) 908-9230

Fax(703) 908-8834

Sole ProprietorYes

Enumeration DateApril 23, 2007

Last NPPES UpdateJuly 24, 2009

✔ NPI 1306064514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in VA · 0101044431

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

6723 WHITTIER AVE, Mclean, VA 22101

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Other Identifiers 1

Medicare ID-Type Unspecified491648VA

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. Douglas Alan Tebor M.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 10

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

DR. STEPHANIE HUSIK TEBOR PHD

Psychologist (Clinical)

6723 WHITTIER AVE, SUITE 405-C
MC LEAN, VA 22101

Fairfax County (703) 508-4836

DR. JOHN LESO PH.D.

Psychologist (Clinical)

6723 WHITTIER AVE
MC LEAN, VA 22101

Fairfax County (703) 475-6478

DR. NORDINE GAUGAU M.D.

Radiology (Diagnostic Radiology)

6723 WHITTIER AVE, STE 306
MC LEAN, VA 22101

Fairfax County (703) 891-3147

DR. ANNA MARIA LUCCA PH.D.

Psychologist (Clinical)

6723 WHITTIER AVE, SUITE 207
MC LEAN, VA 22101

Fairfax County (703) 475-6478

MS. CARMEN GALVAN VAUGHAN LCSW

Social Worker (Clinical)

6723 WHITTIER AVE, SUITE 405B
MCLEAN, VA 22101

Fairfax County (703) 790-5139

DR. LORI BRISTOW PH.D.

Psychologist

6723 WHITTIER AVE, SUITE 206
MC LEAN, VA 22101

Fairfax County (703) 477-0692

IMAGE GUIDED SURGERY CENTER, LLC

Radiology (Vascular & Interventional Radiology)

6723 WHITTIER AVE
MC LEAN, VA 22101

Fairfax County (719) 955-9128

DR. VIVIAN ALLISON SHELTON PSY.D.

Psychologist (Clinical)

6723 WHITTIER AVE, SUITE 207
MC LEAN, VA 22101

Fairfax County (703) 475-6478

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 Douglas Tebor's NPI number?

The NPI number for Douglas Tebor is 1306064514. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Douglas Tebor located?

Douglas Tebor practices at 6723 Whittier Ave Suite 405-C, Mclean, VA 22101. The listed phone number is (703) 908-9230.

What is Douglas Tebor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Douglas Tebor enrolled in Medicare?

Yes. Douglas Tebor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Tebor was last updated on July 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.