TERESA J. STROUT (PHD) – Clinical Neuropsychologist, NPI 1821068925

TERESA J. STROUT (PHD) is a healthcare provider. based in Kokomo, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 20041311A (IN). The NPI Number for TERESA J. STROUT (PHD) is 1821068925

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
TERESA J. STROUT (PHD)
NPI
1821068925
Phone
(765) 452-6700
Address
829 N DIXON RD
Enumeration Date
23 January 2006
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178800000
Graduation Year
1997 (29 years ago)
PAC ID
1254351919
Group Practice PAC ID
6709795974
Professional Enrollment ID
I20051128000418
Address ID
IN462025166IN720XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

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Provider Addresses for TERESA J. STROUT (PHD)

  • 829, North Dixon Road, Jefferson Crossing Apartments, Kokomo, Howard County, Indiana, 46901, United States

    KOKOMO, IN 469011795

    Phone: (765) 452-6700

    Fax: (765) 452-7470

    Type: Mailing

  • 829 N Dixon Rd

    Kokomo, IN 469011795

    Phone: (765) 452-6700

    Fax: (765) 452-7470

    Type: Location

  • PO BOX 637764

    CINCINNATI, OH 452637764

    Phone: (317) 880-3939

    Type: Mailing

  • 720 ESKENAZI AVE

    INDIANAPOLIS, IN 462025187

    Phone: (317) 880-7666

    Fax: (317) 880-0448

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051128000418IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709795974View full group profile

Reviews

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Frequently asked questions

Does TERESA J. STROUT (PHD) have a public NPI I can cite?
Public records show TERESA J. STROUT (PHD) under NPI 1821068925.
Quick check: is TERESA J. STROUT (PHD) active?
Public NPPES data shows TERESA J. STROUT (PHD) with an active NPI status right now.
How should patients interpret TERESA J. STROUT (PHD)'s specialty?
The extract shows Clinical Neuropsychologist for TERESA J. STROUT (PHD). Clinical services aligned with this taxonomy classification.
Which community is linked to TERESA J. STROUT (PHD)?
TERESA J. STROUT (PHD) shows a connection to Kokomo, Indiana in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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