Aleta R. Edwards, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8371 Issued in FL

Practice address

8928 Southbay Dr
Tampa, FL 33615-2770

Phone

(334) 717-3155

NPI assigned

Apr 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Behavioral Medicine LLC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1326423781
  NPD (past)
• David D Hall DO PC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1730298340
  NPD (past)
• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1508039959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 SOUTHBAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152770",
            "telephone_number": "334-717-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8928 SOUTHBAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152770",
            "telephone_number": "334-717-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALETA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004760",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Bass MD PA
• Edward H. Farrior, MD, PA
• Edward J Leonard DC PA
• Edward W. Braun MD PA
• Edwards Health Care Services, Inc.
• Alex Edwards III
• Alexis M Edwards, MS, LMHC
• Candace Edwards, IMH18911
• Charles Edwards, MD
• Denise K Edwards, MD

• Clinical Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.