Edwin Wallace Basham Jr., ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22625 Issued in TX

Practice address

3505 Olsen Blvd
Suite 224
Amarillo, TX 79109-3042

Phone

(806) 354-0411

Fax

(806) 354-0466

NPI assigned

Feb 22, 2007

Sex

Male

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

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as group

Quality

83.48

Improvement activities

40

Cost

67.52

Medicare enrollment (NPD)

Enrolled

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.

• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962537035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 OLSEN BLVD",
            "address_2": "SUITE 224",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093042",
            "telephone_number": "806-354-0411",
            "fax_number": "806-354-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 OLSEN BLVD",
            "address_2": "SUITE 224",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093042",
            "telephone_number": "806-354-0411",
            "fax_number": "806-354-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "EDWIN",
        "middle_name": "WALLACE",
        "name_suffix": "Jr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart Britten MHT LLC
• Victoria Bartholomai
• Cloyce Joe Barton III, LPC
• Viktoria Bartusov, CRNA
• Basak Basbayraktar
• Anthony Vincent Bass, OD
• C Scott Bass, M.D
• Eric Bass, OT
• David Ryan Basse, MD
• Aaron Kyle Bassett, D.O.

• Psychologist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.