Active NPI
Julia Ann Edwards, NCSP, EIP
- School Psychologist
- Crown Point, IN
National Provider Identifier
1932700523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 10187049
- Practice address
- 401 W Joliet St
Crown Point, IN 46307-3808 - Phone
- (219) 663-2173
- Fax
- (219) 662-4378
- NPI assigned
- Nov 2, 2020
- 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 | 10187049 | IN | Primary |
Addresses
Primary practice location
401 W Joliet St
Crown Point, IN 46307-3808
Mailing address
401 W Joliet St
Crown Point, IN 46307-3808
Phone (219) 663-2173
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10187049 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1932700523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W JOLIET ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463073808",
"telephone_number": "219-663-2173",
"fax_number": "219-662-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W JOLIET ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463073808",
"telephone_number": "219-663-2173",
"fax_number": "219-662-4378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JULIA",
"middle_name": "ANN",
"credential": "NCSP, EIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "IN",
"license": "10187049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.