DR. CHAD ROBERT EDWARDS PH.D.
NPI 1487924171
Clinical Neuropsychologist in Mishawaka, IN

NPI Status: Active since January 11, 2012

Contact Information

314 W CATALPA DR
SUITE E
MISHAWAKA, IN
ZIP 46545
Phone: (574) 254-1700
Fax: (574) 254-2930

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  • Individual
  • Male
  • Clinical Neuropsychologist

About CHAD EDWARDS

This page provides the complete NPI Profile along with additional information for Chad Edwards, a provider established in Mishawaka, Indiana with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1487924171 assigned on January 2012. The practitioner's primary taxonomy code is 103G00000X with license number 20042553A (IN). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1487924171
Provider Name
DR. CHAD ROBERT EDWARDS PH.D.
Gender
Male
Entity Type
Individual
Location Address
314 W CATALPA DR SUITE E MISHAWAKA, IN 46545
Location Phone
(574) 254-1700
Location Fax
(574) 254-2930
Mailing Address
10706 TRAILWOOD DR FISHERS, IN 46038
Mailing Phone
(574) 855-7169
Is Sole Proprietor?
Yes
Enumeration Date
01-11-2012
Last Update Date
02-16-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
20042553A
License State
IN
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487924171
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671828114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 8 + 2 + 8 + 1 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1487924171 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184651499ALLIED FAMILY MEDICINE
Organization
Family Medicine314 W CATALPA DR SUITE A
MISHAWAKA, IN 46545
(574) 255-1522
1427068030DR. BRADFORD JOHN EATON PH.D.
Individual
Clinical Neuropsychologist314 W CATALPA DR SUITE E
MISHAWAKA, IN 46545
(574) 254-1700
1588777353DR. JULIE MARIE PELLETIER PSYD, HSPP
Individual
Psychologist (Clinical)314 W CATALPA DR SUITE E
MISHAWAKA, IN 46545
(574) 254-1700
1639285232PSYCHOLOGY ASSOCIATES, P.C.
Organization
Clinical Neuropsychologist314 W CATALPA DR SUITE E
MISHAWAKA, IN 46545
(574) 254-1700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487924171, enumerated in the NPI registry as an "individual" on January 11, 2012

The provider is located at 314 W Catalpa Dr Suite E Mishawaka, In 46545 and the phone number is (574) 254-1700

The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X

This NPI record was last updated on January 11, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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