Diana Eve Edwards, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1059 Issued in AZ

Practice address

1614 E Rancho Dr
Phoenix, AZ 85016-2523

Phone

(602) 248-9030

Fax

(602) 248-3191

NPI assigned

Feb 10, 2016

Sex

Female

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

Practice roles

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.

• Archway Services Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1225117252
  NPD (past) Authorized official

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1447619085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E RANCHO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162523",
            "telephone_number": "602-248-9030",
            "fax_number": "602-248-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E RANCHO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162523",
            "telephone_number": "602-248-9030",
            "fax_number": "602-248-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DIANA",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M Reece MD PLLC
• Nneka Safiya Edwards-Jackson, M.D.
• Alexander W Edwards, MD
• Angela Faye Edwards, SLP
• Danette K Edwards, PT
• Emily Edwards, MOT, OTR/L
• Emily Sue Edwards, FNP-BC
• Erin Edwards, SLP
• Jodi Eileen Edwards, OT
• Jolene B Edwards, RN

• Counseling Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.