Organization Active NPI

The Center for Educational Diagnostics & Assessment

  • Clinical Psychologist
  • Fort Worth, TX
National Provider Identifier
1093530230
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE CENTER FOR EDUCATIONAL DIAGNOSTICS & ASSESSMENT
Practice address
262 Carroll St Ste 150
Fort Worth, TX 76107-1907
Phone
(979) 218-1068
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Karla Eidson
Title
Authorized Official
Phone
(979) 218-1068

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

262 Carroll St Ste 150
Fort Worth, TX 76107-1907

Mailing address

4628 Lafayette Ave
Fort Worth, TX 76107-3722
Phone (979) 218-1068

National Provider Directory

National Provider Directory

Locations

262 Carroll St
Ste 150
Fort Worth, TX 76107
Phone (979) 218-1068

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1093530230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 LAFAYETTE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073722",
            "telephone_number": "979-218-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CARROLL ST STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071907",
            "telephone_number": "979-218-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR EDUCATIONAL DIAGNOSTICS & ASSESSMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "EIDSON",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "979-218-1068"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.