AMBER N TEBAY (PHD) – Clinical Psychologist, NPI 1417588229

AMBER N TEBAY (PHD) is a healthcare provider. based in Belpre, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 8003 (OH). The NPI Number for AMBER N TEBAY (PHD) is 1417588229

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
AMBER N TEBAY (PHD)
NPI
1417588229
Phone
(304) 966-1286
Address
710 BELROCK AVE APT 120
Enumeration Date
30 January 2020
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403746338
Graduation Year
2017 (9 years ago)
PAC ID
2062842628
Group Practice PAC ID
8224928965
Professional Enrollment ID
I20200422000950
Address ID
OH457502244MA210XXSTXX402
Telehealth
Yes

Contacts

Secure Messaging
amber.adams@mmhs.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for AMBER N TEBAY (PHD)

  • 710 BELROCK AVE APT 120

    BELPRE, OH 457142152

    Phone: (304) 966-1286

    Type: Mailing

  • 210 N 7TH ST STE 200

    MARIETTA, OH 457502244

    Phone: (740) 374-6338

    Fax: (740) 374-6066

    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: 2020-04-22

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
I20200422000950IClinical PsychologistOHTBD

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 45714)

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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: 8224928965View full group profile
NameSpecialtyState
Family PracticeOH
Nurse PractitionerOH
General Practice, Obstetrics/GynecologyOH
-OH
Family PracticeOH
Family PracticeOH
Nurse PractitionerOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryOH

Reviews

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Frequently asked questions

Where can patients find AMBER N TEBAY (PHD)'s NPI?
You can confirm AMBER N TEBAY (PHD) with NPI 1417588229; it appears in the national provider directory.
Is AMBER N TEBAY (PHD) currently active in the NPI registry?
CMS-published data lists AMBER N TEBAY (PHD) as an active registrant.
Does AMBER N TEBAY (PHD) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for AMBER N TEBAY (PHD). Clinical services aligned with this taxonomy classification.
Does AMBER N TEBAY (PHD) practice in Ohio?
You will see Belpre, Ohio on file for AMBER N TEBAY (PHD) alongside any extra practice locations.
What if Belpre, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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