NPIMap

Organization Active NPI

Edwards Psychological Services

  • Clinical Psychologist
  • Thornville, OH
National Provider Identifier
1447681853
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5679 Issued in OH
Legal business name
EDWARDS PSYCHOLOGICAL SERVICES
Practice address
14880 State Route 13
Thornville, OH 43076-8954
Phone
(740) 246-4963
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Kevin Edwards, PH.D.NPI 1952344681
Title
Owner
Phone
(740) 246-4963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5679 OH Primary

Addresses

Primary practice location

14880 State Route 13
Thornville, OH 43076-8954

Mailing address

14880 State Route 13
Thornville, OH 43076-8954
Phone (740) 246-4963

National Provider Directory

National Provider Directory

Locations

14880 State Route 13
Thornville, OH 43076
Phone (740) 246-4963

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1447681853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14880 STATE ROUTE 13",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430768954",
            "telephone_number": "740-246-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14880 STATE ROUTE 13",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430768954",
            "telephone_number": "740-246-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-246-4963",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.