Individual provider Active NPI

Whitney Edwards

  • Psychologist
  • Cary, NC
National Provider Identifier
1457646986
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
515 Keisler Dr Ste 101
Cary, NC 27518-7097
Phone
(919) 590-9937
Fax
(984) 202-2215
NPI assigned
Jun 13, 2011
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

515 Keisler Dr Ste 101
Cary, NC 27518-7097

Mailing address

515 Keisler Dr Ste 101
Cary, NC 27518-7097
Phone (919) 590-9937

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4485NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Psychological Associates PLLC CurrentSince Jul 7, 2024 Accepting new patients
Allan a Bloom PHD & Associates PastSince Apr 9, 2016 Accepting new patients

Locations

515 Keisler Dr
Ste 101
Cary, NC 27518
Phone (919) 239-9534

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1457646986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187097",
            "telephone_number": "919-590-9937",
            "fax_number": "984-202-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187097",
            "telephone_number": "919-590-9937",
            "fax_number": "984-202-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WHITNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.