Organization Active NPI

Dr. Cynthia Edwards-Hawver, Psy.D. and Associates

  • Clinical Psychologist
  • Clarks Summit, PA
National Provider Identifier
1730552365
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016122 Issued in PA
Legal business name
DR. CYNTHIA EDWARDS-HAWVER, PSY.D. AND ASSOCIATES
Practice address
400 S State St
Clarks Summit, PA 18411-1589
Phone
(570) 575-3765
Fax
(570) 587-1747
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Cynthia Edwards-Hawver, PSY.D.NPI 1972664498
Title
Clinical Psychologist/Owner
Phone
(570) 575-3765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS016122 PA Primary

Addresses

Primary practice location

400 S State St
Clarks Summit, PA 18411-1589

Mailing address

400 S State St
Clarks Summit, PA 18411-1589
Phone (570) 575-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160609001918 PA Part B Supplier - Clinic/Group Practice 8224328877 Receives reassigned benefits from 1 practitioner
Practice locations: Nicholson, PA

National Provider Directory

National Provider Directory

Locations

400 S State St
Clarks Summit, PA 18411
Phone (570) 575-3765

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1730552365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111589",
            "telephone_number": "570-575-3765",
            "fax_number": "570-945-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111589",
            "telephone_number": "570-575-3765",
            "fax_number": "570-587-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CYNTHIA EDWARDS-HAWVER, PSY.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS-HAWVER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "570-575-3765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.