Carolyn Vale Edwards, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071-004445 Issued in IL

Practice address

508 N Rose Ave
Park Ridge, IL 60068-2964

Phone

(847) 823-0909

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1669724894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N ROSE AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682964",
            "telephone_number": "847-823-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N ROSE AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682964",
            "telephone_number": "847-823-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CAROLYN",
        "middle_name": "VALE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-004445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Eck
• Edison DME LTD
• Kathleen Edmier, PSYD, BCBA
• Edward Hines VA Hospital
• Alicia R Edwards, RD
• Gabriel Jara-Almonte Edwards, LCSW
• Janis L Edwards, L.C.S.W.
• Paul Edwards, PMHNP
• Jayne Chinwoke Ehirim, DNP, APRN, PMHNP-BC
• Karen J. Eklind, L.C.S.W.

• Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.