Edmund Edward Nadolny, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

LP0891 Issued in MN

Practice address

1000 Willmar Ave SW
Behavioral Forensic Services
Willmar, MN 56201-3067

Phone

(320) 235-3004

Fax

(320) 235-3008

NPI assigned

Mar 23, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1043481658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562010495",
            "telephone_number": "320-235-3004",
            "fax_number": "320-235-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILLMAR AVE SW",
            "address_2": "BEHAVIORAL FORENSIC SERVICES",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013067",
            "telephone_number": "320-235-3004",
            "fax_number": "320-235-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOLNY",
        "first_name": "EDMUND",
        "middle_name": "EDWARD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "LP0891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Mueller, OD
• Lauryn Bailey Mueske
• Timothy S Mulder, M.D.
• David Anthony Munson, LICSW
• Lindsey Murphy, PA-C
• Michael A Nagel, O.D.
• Marvin Rudolph Napgezek, M.D.
• Mallory Theresa Nath, LICSW
• Steven J Nedrelow, DDS MSD PA
• Trent John Neisen, DDS

• Forensic Psychologist in Willmar, MN
• Providers in Willmar, MN by specialty
• Forensic Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.