Organization Active NPI

Daniel a Edwards PHD

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1275406134
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DANIEL A EDWARDS PHD
Practice address
6857 Alden Dr
West Bloomfield, MI 48324-2013
Phone
(773) 673-0299
NPI assigned
Sep 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Daniel A Edwards, PSYD
Title
Owner
Phone
(773) 673-0299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6857 Alden Dr
West Bloomfield, MI 48324-2013

Mailing address

1200 N Ashland Ave Ste 205
Chicago, IL 60622-8311
Phone (773) 673-0299

Other practice location 1

1200 N Ashland Ave Ste 205
Chicago, IL 60622-8311
Phone (773) 673-0299

National Provider Directory

National Provider Directory

Locations

1200 N Ashland Ave
Ste 205
Chicago, IL 60622
Phone (312) 874-8198

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1275406134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228311",
            "telephone_number": "773-673-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6857 ALDEN DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242013",
            "telephone_number": "773-673-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Ashland Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606228311",
            "country_code": "US",
            "telephone_number": "773-673-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL A EDWARDS PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-673-0299",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.