DR. TERI SHONTELLE MACQUEEN PH.D.
NPI 1407912942
Psychologist in Charlotte, NC

Active since December 29, 2006Opted out of Medicare · through Nov 23, 2027
6733 FAIRVIEW RD, SUITE B, CHARLOTTE, NC 28210(704) 560-0023 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Teri Shontelle Macqueen Ph.d. NPPES

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

DR. TERI SHONTELLE MACQUEEN PH.D. (NPI 1407912942) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (2930) and active in the NPI registry since December 2006. She has opted out of Medicare through November 23, 2027.

NPPES Registry Identity

NPI1407912942
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TERI SHONTELLE MACQUEENCredential: PH.D.
Location Address6733 FAIRVIEW RD, SUITE BCharlotte, NC 28210-3382
Mailing Address6733 Fairview Rd, Suite BCharlotte, NC 28210-3382 · (704) 560-0023
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1407912942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 2930
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.
6733 FAIRVIEW RD, Charlotte, NC 28210

Other Identifiers 3

Other046ETNC · Bcbs
Other7040485NC · Aetna
Medicaid6000670NC

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

Dr. Teri Shontelle Macqueen Ph.d. 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 November 23, 2021 through November 23, 2027.

Opt-Out Effective DateNovember 23, 2021
Opt-Out In Effect ThroughNovember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
6733 FAIRVIEW RD
CHARLOTTE, NC 28210

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 Teri Macqueen's NPI number?

The NPI number for Teri Macqueen is 1407912942. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Teri Macqueen located?

Teri Macqueen practices at 6733 Fairview Rd Suite B, Charlotte, NC 28210. The listed phone number is (704) 560-0023.

What is Teri Macqueen's specialty?

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

Is Teri Macqueen enrolled in Medicare?

No. Teri Macqueen has opted out of Medicare through November 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Teri Macqueen accept?

Health plans from Blue Cross and Blue Shield of NC list Teri Macqueen 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 Teri Macqueen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.