Joanna Tyler Edwards

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

01357 Issued in MD

Practice address

4405 East West Highway
Suite 312
Bethesda, MD 20814

Phone

(301) 596-6200

Fax

(202) 667-9766

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Joanna Tyler Former name

Medicare fee-for-service enrollment

Enrolled in DC

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Maryland School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Laura Hickok, PH.D., P.C.

  • Clinical Psychologist
  • Bethesda, MD
  • NPI 1568629715
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740372853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 CORTLAND PLACE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20008",
            "telephone_number": "301-896-6200",
            "fax_number": "202-667-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 EAST WEST HIGHWAY",
            "address_2": "SUITE 312",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-596-6200",
            "fax_number": "202-667-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOANNA",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "01357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "TYLER",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arden Fredeking Edwards, M.D.
• Brooke Leiman Edwards, CCC SLP
• Cassandra Edwards, LCPC
• Courtney Hannah Edwards, LCSW-C
• Jeremy Vaughan Edwards, D.O.
• Kimberly Yvonne Edwards, M.ED.,CCC-SLP
• Michelle Marie Edwards, MD, MPH
• Polo Lynn Edwards, DPT
• Susannah Lin Edwards, MS RDN LD
• Tayana Capri Edwards

• Clinical Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.