T Edwards and Associates, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1532 Issued in NC

Legal business name

T EDWARDS AND ASSOCIATES, PLLC

Practice address

8394 Six Forks Rd
Ste 104
Raleigh, NC 27615-3057

Phone

(919) 845-4550

Fax

(919) 845-2922

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Theresa Edwards, PHD

Title

Owner

Phone

(919) 845-4550

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1114201944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98273",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248273",
            "telephone_number": "919-845-4550",
            "fax_number": "919-845-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8394 SIX FORKS RD",
            "address_2": "STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153057",
            "telephone_number": "919-845-4550",
            "fax_number": "919-845-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T EDWARDS AND ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-845-4550",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1532",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "1532",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "NC",
            "license": "1532",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "1532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000501",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SZR North Hills, LLC
• Kimberly Poots Szwed, FNP
• T & a Young L.L.C
• T & L Transportation Services, LLC
• T & T Technology, Inc.
• T.C.C. Group Incorporated
• T.D. James Enterprises, LLC
• Alicia Marie Tabbutt, MOT, OTR/L
• Brooks Taber, M.D.
• Julia Kreager Taber, M.D.

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.