Active NPI
Carl Normand Edwards, JD PHD
- Forensic Psychologist
- Temple, TX
National Provider Identifier
1477044220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 798
- Practice address
- 4113 Sunflower LN
Temple, TX 76502-4803 - Phone
- (774) 200-0201
- NPI assigned
- May 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 798 | MA | Primary |
Addresses
Primary practice location
4113 Sunflower LN
Temple, TX 76502-4803
Mailing address
4113 Sunflower LN
Temple, TX 76502-4803
Phone (774) 200-0201
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)
- Not enrolled
- Credentials
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 798 | MA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527379200000",
"number": "1477044220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4113 SUNFLOWER LN",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765024803",
"telephone_number": "774-200-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4113 SUNFLOWER LN",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765024803",
"telephone_number": "774-200-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CARL",
"middle_name": "NORMAND",
"name_prefix": "Dr.",
"credential": "JD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-27",
"last_updated": "2018-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Aleshia Chaunte Edwards, CRNA
- Diane Edwards, PT
- Heather Edwards, NNP
- Josanie L Edwards, BS, LMT, L.AC
- Sarah Lucille Edwards, PHARMD
- Susan Anne Julian Edwards, OTR, CHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.