Christina Edler

Individual provider Active NPI School Psychologist · Elizabeth, IL

NPI 1255857207 · NPPES record last updated Aug 21, 2017

Key facts

NPI: 1255857207
Entity type: Individual (NPI type 1)
Primary specialty: School Psychologist 103TS0200X
Practice address: 310 N West St
Elizabeth, IL 61028-8017
Phone: (815) 599-1947
NPI assigned: Aug 21, 2017
Sex: Female
Sole proprietor: No

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.

Northwest Special Education Cooperative Local Education Agency (LEA) · Freeport, IL · NPI 1265600233

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Northwest Special Education Cooperative		Past since Jun 25, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
School Psychologist	103TS0200X		IL	Yes

Addresses

Primary practice location

310 N West St
Elizabeth, IL 61028-8017

Mailing address

733 Meadow Ridge LN
Lena, IL 61048-8722
Phone (815) 275-0675

Other providers in Elizabeth, IL

All providers in Elizabeth, IL · School Psychologist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.