Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093789828 Individual Practitioner Female Practitioner

Kelly Lee Teeples , MS IN EDUCATION

Psychologist - Cognitive & Behavioral • Weston, FL

Professional Overview & Biography Verified Profile Summary

Kelly Teeples, MS IN EDUCATION is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Weston, FL. Practice services are available at 1500 WESTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Weston Rd
Suite 211

Weston, FL 333263263

Telephone 7864231637
Associated Practice Facility / Clinic
🏢 Erica L. Grub Pa Facility NPI 1679857080

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Weston, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Weston, FL (147 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License FL 1-04-1677

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
689927798 (FL)
Medicaid State Provider ID
689927796 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ivanna Vidal , LCSW

Social Worker - Clinical

NPI 1538648738

Licensed Clinical Social Worker

Dr. Hilary Glazer , MD

Psychiatry & Neurology - Neurology

NPI 1609166412

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2013

Registered at 1500 WESTON RD, SUITE 211, WESTON, FL 333263263 (Tel: 7864231637)

📍
Updated Business Mailing Address September 12, 2013

Registered at 1483 SW 18TH TER, FORT LAUDERDALE, FL 333124128 (Tel: 7864231637)

👤
Provider Name / Credentials Updated September 12, 2013

Recorded as KELLY TEEPLES, MS IN EDUCATION

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Psychologist (License #1-04-1677 in FL)

🟢
Initial NPI Registration & Enumeration February 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093789828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2006
Last Update: September 12, 2013
Sole Proprietor: No

Mailing Address

1483 Sw 18th Ter

Fort Lauderdale, FL 333124128

Phone: 7864231637

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.