TEDD A STEPHENS EDD
NPI 1467476150
Psychologist - Clinical Child & Adolescent in Johnson City, TN

Q: What is Tedd Stephens's NPI number?

The NPI number for Tedd Stephens is 1467476150. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Tedd Stephens's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Tedd Stephens was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 July 26, 2006

2112 N ROAN ST FL 6, JOHNSON CITY, TN 37601(423) 928-1379(423) 928-1379 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tedd A Stephens Edd NPPES

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

TEDD A STEPHENS EDD (NPI 1467476150) is an individual clinical child & adolescent provider in Johnson City, Tennessee, licensed in Tennessee (CMT0000000186) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1467476150

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameTEDD A STEPHENSCredential: EDD

Location Address2112 N ROAN ST FL 6Johnson City, TN 37601-2519

Mailing AddressPo Box 4644Johnson City, TN 37602-4644 · (423) 928-1379 · Fax (423) 928-1379

Phone(423) 928-1379

Fax(423) 928-1379

Sole ProprietorYes

Enumeration DateJuly 26, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1467476150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in TN · CMT0000000186

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License P0000001029 (TN)

2112 N ROAN ST FL 6, Johnson City, TN 37601

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Other Identifiers 1

Medicaid3688713TN

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 Tedd Stephens's NPI number?

The NPI number for Tedd Stephens is 1467476150. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Tedd Stephens located?

Tedd Stephens practices at 2112 N Roan St Fl 6, Johnson City, TN 37601. The listed phone number is (423) 928-1379.

What is Tedd Stephens's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Tedd Stephens was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.