Dr Tedd Stephens Edd
Dr Tedd Stephens Edd is a healthcare organization registered as Psychologist in Johnson City, TN, holding Type 2 (organization) NPI 1265500615 since 2006. The authorized official on file is Tedd Stephens, Owener.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265500615 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dr Tedd Stephens Edd |
| Practice address | 2112 N ROAN ST, 6TH FL, Johnson City, TN, 37601 |
| Phone | 4239281379 |
| Enumeration date | 2006-12-02 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Tedd Stephens |
|---|---|
| Title | Owener |
| Phone | 4239281379 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103T00000X | Psychologist | Primary | — | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3688713 | Medicaid | TN | — |
Copy-ready billing details
Provider: Dr Tedd Stephens Edd NPI: 1265500615 Taxonomy: 103T00000X (Psychologist) Address: 2112 N ROAN ST, 6TH FL, Johnson City, TN, 37601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710831342 | Deanna Jackson | Individual | Professional Counselor | Johnson City, TN |
Verify this record
Cross-check NPI 1265500615 against the authoritative CMS record: view Dr Tedd Stephens Edd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Dr Tedd Stephens Edd?
What is the NPI number for Dr Tedd Stephens Edd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.