Active NPI
Jamie Edwards, MS, LEP
- School Psychologist
- Martinez, CA
National Provider Identifier
1013637776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3419
- Practice address
- 360 Lindsey Dr
Martinez, CA 94553-5738 - Phone
- (925) 413-7968
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3419 | CA | Primary |
Addresses
Primary practice location
360 Lindsey Dr
Martinez, CA 94553-5738
Mailing address
360 Lindsey Dr
Martinez, CA 94553-5738
Phone (925) 413-7968
Other practice location 1
1407 Oakland Blvd Ste 108
Walnut Creek, CA 94596-4300
Phone (925) 954-9229
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | port | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3419 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Child Assessment & Counseling, Inc | School | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Walnut Creek, CA
- NPI 1699634295
School
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1013637776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 LINDSEY DR",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945535738",
"telephone_number": "925-413-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 LINDSEY DR",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945535738",
"telephone_number": "925-413-7968"
}
],
"practiceLocations": [
{
"address_1": "1407 Oakland Blvd Ste 108",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945964300",
"country_code": "US",
"telephone_number": "925-954-9229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "JAMIE",
"name_prefix": "Mrs.",
"credential": "MS, LEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "3419",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "port",
"affiliation": "N",
"endpointDescription": "port",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "360 Lindsey Dr",
"city": "Martinez",
"state": "CA",
"country_code": "US",
"postal_code": "945535738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.