CAROL B EDWARDS, PSYD, HSPP, CLINICAL PSYCHOLOGIST, LLC (NPI# 1801040530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801040530 |
| Entity Type | Organization |
| Organization Name | CAROL B EDWARDS, PSYD, HSPP, CLINICAL PSYCHOLOGIST, LLC |
| Other Organization Name | DR. CAROL EDWARDS |
| Practice Address |
9111 Broadway Suite N Merrillville IN 46410-8122 |
| Mailing Address |
Po Box 1156 Valparaiso IN 46384-1156 |
| Practice Telephone | 2197911006 |
| Practice Fax Number | 2197911007 |
| Mailing Telephone | 2197911006 |
| Mailing Fax Number | 2197911007 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Authorized Official Name | DR. CAROL B EDWARDS (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2197911006 |
| Authorized Official Credential | PSYD HSPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
20041414A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CAQH | 11388127 | 01 |
| IN | 200337570A | 05 | |
| IN | NPI INDIVIDUAL PROVIDER | 1639142516 | 01 |
| Other Name | Type Code |
|---|---|
| Dr. Carol Edwards | Doing Business As Name - Organization |
| Street Address |
9111 BROADWAY SUITE N |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470694 | Leigh A Barnes | Counselor | 9111 Broadway, Braodfield Center, Suite N, Merrillville, IN 46410-8122 | 2005-10-13 |
| 1508314352 | Anthony Grady | Counselor | 9111 Broadway, Merrillville, IN 46410-8122 | 2016-09-21 |
| 1013391572 | Kimberly Harris | Social Worker | 9111 Broadway, Suite F, Merrillville, IN 46410-8122 | 2015-07-15 |
| 1932548559 | Deanna Lynn Szyndrowski | Counselor | 9111 Broadway, Merrillville, IN 46410-8122 | 2013-06-17 |
| 1245502004 | Karen Ensign & Associates Inc | Social Worker | 9111 Broadway, Merrillville, IN 46410-8122 | 2012-02-08 |
| 1902181233 | St. John Therapy Services, Inc. | Specialist | 9111 Broadway, Suite Mm, Merrillville, IN 46410-8122 | 2011-10-18 |
| 1861623050 | Dr. Cathleen Murtaugh Amador, Psy.d. L.L.C. | Psychologist | 9111 Broadway, Suite N, Merrillville, IN 46410-8122 | 2009-08-05 |
| 1295921351 | Jessica L Kennedy Herrmann | Counselor | 9111 Broadway, Broadfield Center Suite N, Merrillville, IN 46410-8122 | 2007-09-21 |
| 1932392537 | Graham Pshchological Consulting and Restoration, Inc | Psychologist | 9111 Broadway, Suite Q, Merrillville, IN 46410-8122 | 2007-08-27 |
| 1588857940 | Chiropractic Plus, PC | Chiropractor | 9111 Broadway, Suite Aa, Merrillville, IN 46410-8122 | 2007-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174038418 | A New Beginning Community Center | Clinic/Center | 5490 Broadway Ste L-11, Merrillville, IN 46410-1663 | 2017-12-08 |
| 1366815615 | Psi Services of Indiana Inc. | Clinic/Center | 8120 Georgia St Ste D, Merrillville, IN 46410-6391 | 2015-11-09 |
| 1528337318 | National Youth Advocate Program | Clinic/Center | 1551 E 85th Ave, Merrillville, IN 46410-8901 | 2011-12-22 |
| 1902043672 | Southlake Community Mental Health Center | Clinic/Center | 8555 Taft St, Merrillville, IN 46410-6123 | 2009-01-16 |
| 1023169893 | Human Services, Inc | Clinic/Center | 6111 Harrison St, Merrillville, IN 46410-2969 | 2007-01-16 |
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|---|---|---|---|---|
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| 1083214159 | Amber Kinney, LLC | Clinic/Center | 623 S Washington St Apt A, Bloomington, IN 47401-5645 | 2020-10-28 |
| 1710585997 | Bloomington Neurofeedback | Clinic/Center | 1905 S Liberty Dr, Bloomington, IN 47403-5146 | 2020-10-11 |
| 1255943346 | Reality Counseling LLC | Clinic/Center | 5610 Crawfordsville Rd Ste 605, Indianapolis, IN 46224-3715 | 2020-08-19 |
| 1326658568 | Jennifer Steinmetz Msw LLC | Clinic/Center | 115 N College Ave Ste 225, Bloomington, IN 47404-4099 | 2020-08-03 |
| 1376161810 | North Clark Behavioral Health LLC | Clinic/Center | 2100 Market St Ste 200, Charlestown, IN 47111-8507 | 2020-07-10 |
| 1265068084 | Wellness Etc LLC | Clinic/Center | 1133 W Mill Rd Ste 200, Evansville, IN 47710-3877 | 2020-03-13 |
| 1114553948 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 720 N Marr Rd Ste A, Columbus, IN 47201-6660 | 2020-03-12 |
| 1376174904 | Karen Brosius LLC | Clinic/Center | 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 | 2020-02-02 |
| 1396385886 | Urban Act Academy | Clinic/Center | 1250 E Market St, Indianapolis, IN 46202-3831 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on CAROL B EDWARDS, PSYD, HSPP, CLINICAL PSYCHOLOGIST, LLC.
| 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.