Fredrick Eddington Sr.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

1614 Summers Dr
Cedar Hill, TX 75104-4920

Phone

(972) 299-9369

Fax

(972) 299-9369

NPI assigned

Dec 5, 2014

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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.

• Body of Christ Assembly

  • Developmentally Disabled Services Day Training Agency
  • Cedar Hill, TX
  • NPI 1255739314
  NPD (past) Authorized official

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1760880892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 SUMMER DR.",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "75104",
            "telephone_number": "972-299-9369",
            "fax_number": "972-299-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 SUMMERS DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044920",
            "telephone_number": "972-299-9369",
            "fax_number": "972-299-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINGTON",
        "first_name": "FREDRICK",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea K Dudley, LVN
• Amber Marie Dumas, LCSW
• Carolyn Duncan
• Elonie Esther Dureus, LCPAA AND LCCA
• Ecoride Enterprises
• David E Edgerson
• Mashala Joynique Edwards, RN
• Patience Effanga, APRN
• Enehizena Nehitada Ehondor, DMD
• Collins Ekeocha, PHARMD

• Intellectual & Developmental Disabilities Psychologist in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Intellectual & Developmental Disabilities Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.