THOMAS LYNN EDWARDS (NPI# 1003097775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003097775 |
| Entity Type | Individual |
| Full Name | THOMAS LYNN EDWARDS |
| Credential | PSYD, LP |
| Practice Address |
16150 Crosstown Blvd Nw Andover MN 55304-2111 |
| Mailing Address |
7525 4th Ave Lino Lakes MN 55014-1006 |
| Practice Telephone | 7633084858 |
| Mailing Telephone | 7633084858 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2014-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP4998 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498928 | Thomas Edwards | Social Worker | 8300 Foxtrail Dr, Fayetteville, NC 28311-8948 | 2015-10-06 |
| 1871881201 | Thomas A Edwards | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H Attn; Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2011-07-19 |
| 1457486615 | Thomas John Edwards | Chiropractor | 21195 Watertown Rd, Waukesha, WI 53186-1898 | 2007-02-21 |
| 1669536348 | Thomas C Edwards | Internal Medicine | 334 W 10th Pl, Ste 100, Mesa, AZ 85201-3497 | 2006-12-20 |
| 1649352410 | Thomas John Edwards | Dentist | 2575 Maysville Pike, Zanesville, OH 43701-8081 | 2006-10-20 |
| 1770503427 | Thomas Walter Edwards Jr. | Dentist | 10921 Wilshire Blvd Ste 1010, Los Angeles, CA 90024-4003 | 2006-07-19 |
| 1205879459 | Thomas Lloyd Edwards | Family Medicine | 12844 Joe Harig Rd, San Antonio, FL 33576-0537 | 2006-06-14 |
| 1952386179 | Thomas E Edwards | Optometrist | 10054 Cooley Rd, Brookville, IN 47012-9511 | 2005-12-09 |
| 1326029125 | Thomas Elliot Edwards Jr. | Specialist | 2799 Lawrenceville Hwy, Suite 104, Decatur, GA 30033-2531 | 2005-11-09 |
| 1811987472 | Thomas W Edwards | Anesthesiology | 3636 S Alameda St, Level II, Ste A, Corpus Christi, TX 78411-1723 | 2005-10-25 |
| Street Address |
16150 CROSSTOWN BLVD NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1427362607 | Louise Ann Peterson-arnzen | Psychologist | 1 Elm Sq Ste 2a, Andover, MA 01810-3986 | 2010-07-30 |
| 1902042575 | Max Alovisetti | Psychologist | 20 Abbot St, Andover, MA 01810-4004 | 2009-01-01 |
| 1053420018 | Richard Norman Shulik | Psychologist | 35 Clark Rd, Andover, MA 01810-5601 | 2006-08-30 |
| 1396855474 | Larry L Larsen | Psychologist | 28 Andover Street, Andover, MA 01810 | 2006-08-30 |
| 1760493613 | Lisa Bailyn | Psychologist | 3 Dundee Park, Suite 203, Andover, MA 01810-3723 | 2006-08-10 |
| 1760439327 | Shereen M O'malley | Psychologist | 1875 Station Parkwaynw, Andover, MN 55304-1719 | 2006-05-28 |
| 1073578472 | Rum River Counseling, Inc. | Psychologist | 2705 Bunker Lake Blvd Nw, Suite 100, Andover, MN 55304-3784 | 2006-04-19 |
| 1598377079 | Jared Samuel Ohm | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2020-08-17 |
| 1104381284 | Jill Roberts | Psychologist | 217 W Ira Ct, Andover, KS 67002-9469 | 2019-02-04 |
| Find all providers in ANDOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.