DR. CHAD ROBERT EDWARDS (NPI# 1487924171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487924171 |
| Entity Type | Individual |
| Full Name | DR. CHAD ROBERT EDWARDS |
| Credential | PH.D. |
| Practice Address |
314 W Catalpa Dr Suite E Mishawaka IN 46545-3194 |
| Mailing Address |
10706 Trailwood Dr Fishers IN 46038-6514 |
| Practice Telephone | 5742541700 |
| Practice Fax Number | 5742542930 |
| Mailing Telephone | 5748557169 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 20042553A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649390139 | Chad Randall Edwards | Surgery | 1504 N Thornton Ave Ste 101, Dalton, GA 30720-8394 | 2007-03-30 |
| 1790833481 | Chad P Edwards | Emergency Medicine | 12142 S Yukon Ave, Glenpool, OK 74033 | 2007-01-08 |
| 1063436079 | Chad J Edwards | Optometrist | 12455 E 100th St N # 110, Owasso, OK 74055-4600 | 2006-07-26 |
| 1083605000 | Chad Oliver Edwards | Dentist | 3046 Columbia Ave, Ste. 201, Franklin, TN 37064-7429 | 2005-10-31 |
| 1649631946 | Chad Edwards | Nurse Anesthetist, Certified Registered | 3610 24th St, Lubbock, TX 79410-2014 | 2016-03-14 |
| 1891186680 | Chad Aaron Edwards | Orthopaedic Surgery | 1775 Browning Way Ste 201, Elko, NV 89801-8340 | 2015-02-15 |
| 1255654216 | Chad O Edwards | Dietitian, Registered | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2010-03-04 |
| 1568652337 | Chad A. Edwards | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2007-07-27 |
| Street Address |
314 W CATALPA DR SUITE E |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184651499 | Allied Family Medicine | Family Medicine | 314 W Catalpa Dr, Suite A, Mishawaka, IN 46545-3194 | 2006-06-26 |
| 1548472863 | William Henry Youngs | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2007-05-07 |
| 1639285232 | Psychology Associates, P.C. | Psychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-23 |
| 1588777353 | Julie Marie Pelletier | Psychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-16 |
| 1427068030 | Bradford John Eaton | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871660035 | Paul Warren Macellari | Clinical Neuropsychologist | 135 Red Coach Dr, Mishawaka, IN 46545-3145 | 2006-11-30 |
| 1518956648 | Gary W. Elliott | Clinical Neuropsychologist | 314 W Catalpa, Suite E, Mishawaka, IN 46545 | 2005-10-20 |
| 1750862959 | Michiana Neuroscience, LLC | Clinical Neuropsychologist | 210 S Race St, Mishawaka, IN 46544-2032 | 2018-08-24 |
| 1649624735 | Michael Richard Mitcheff | Clinical Neuropsychologist | 210 S Race St, Mishawaka, IN 46544-2032 | 2016-04-15 |
| 1285013474 | Paul W Macellari Phd PC | Clinical Neuropsychologist | 135 Red Coach Dr, Mishawaka, IN 46545-3145 | 2015-05-21 |
| 1548472863 | William Henry Youngs | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2007-05-07 |
| 1427068030 | Bradford John Eaton | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2006-08-08 |
| 1295789980 | Patrick T Casey | Clinical Neuropsychologist | 314 W Catalpa, Suite E, Mishawaka, IN 46545 | 2006-05-19 |
| 1043214679 | Jan E Warner | Clinical Neuropsychologist | 230 E Day Rd, #160, Mishawaka, IN 46545-3463 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1497273015 | Jana Beth Dykstra | Clinical Neuropsychologist | 355 W 16th Street Goodman Hall, Indianapolis, IN 46202 | 2017-09-04 |
| 1558779355 | Neurobehavioral Consultants, LLC | Clinical Neuropsychologist | 4356 N College Ave, Indianapolis, IN 46205-1932 | 2014-07-24 |
| 1275973257 | Courtney Beth Johnson | Clinical Neuropsychologist | 2680 E Main St Ste 114, Plainfield, IN 46168-2827 | 2013-07-05 |
| 1619275807 | Renee Elizabeth Buskirk | Clinical Neuropsychologist | 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 | 2011-03-11 |
| 1417251109 | Bradford J Eaton Phd | Clinical Neuropsychologist | 15744 Sunrise Trl, Granger, IN 46530-9034 | 2011-01-10 |
| 1306170626 | Elizabeth Begyn | Clinical Neuropsychologist | 541 Clinical Dr # Cl285, Indianapolis, IN 46202-5233 | 2009-09-21 |
| 1285865378 | Anps-in LLC | Clinical Neuropsychologist | 908 Roosevelt Rd, Suite K, Valparaiso, IN 46383-4375 | 2009-08-06 |
| 1215101696 | Michelle Anne Keiski | Clinical Neuropsychologist | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2008-04-17 |
| 1669641114 | Estes Neuropsychology, LLC | Clinical Neuropsychologist | 1655 N Gladstone Ave Ste D, Columbus, IN 47201-5380 | 2008-02-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHAD ROBERT EDWARDS.
| 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.