Active NPI
Chelsea Amanda Edwards
- School Psychologist
- Anaheim, CA
National Provider Identifier
1669205167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 504 E South St
Anaheim, CA 92805-5338 - Phone
- (714) 517-8917
- NPI assigned
- Aug 21, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
504 E South St
Anaheim, CA 92805-5338
Mailing address
504 E South St
Anaheim, CA 92805-5338
Phone (714) 517-8917
Other practice location 1
810 N Gilbert St
Anaheim, CA 92801-3348
Phone (714) 517-8908
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1669205167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 E SOUTH ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055338",
"telephone_number": "714-517-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E SOUTH ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055338",
"telephone_number": "714-517-8917"
}
],
"practiceLocations": [
{
"address_1": "810 N Gilbert St",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928013348",
"country_code": "US",
"telephone_number": "714-517-8908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "CHELSEA",
"middle_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.