DR. ALLIE W. EDWARDS PHD
NPI 1841492006
Psychologist in Oakland, CA

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
1970 BROADWAY, SUITE 835, OAKLAND, CA 94612(510) 409-9238(510) 727-9761 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Allie W. Edwards Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALLIE W. EDWARDS PHD (NPI 1841492006) is an individual psychologist in Oakland, California, licensed in California (PSY 18234) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1841492006
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ALLIE W. EDWARDSCredential: PHD
Location Address1970 BROADWAY, SUITE 835Oakland, CA 94612
Mailing Address1970 Broadway, Suite 835Oakland, CA 94612 · (510) 409-9238 · Fax (510) 727-9761
Fax(510) 727-9761
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJune 1, 2007
Last NPPES UpdateSeptember 29, 2015
NPI 1841492006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY 18234
Definition
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.
1970 BROADWAY, Oakland, CA 94612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Allie W. Edwards Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739691239
PECOS Enrollment IDI20250620002690
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
1970 BROADWAY, SUITE 700
OAKLAND, CA 94612
Social Worker (Clinical)
1970 BROADWAY, 835
OAKLAND, CA 94612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allie Edwards's NPI number?

The NPI number for Allie Edwards is 1841492006. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Allie Edwards located?

Allie Edwards practices at 1970 Broadway Suite 835, Oakland, CA 94612. The listed phone number is (510) 409-9238.

What is Allie Edwards's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Allie Edwards enrolled in Medicare?

Yes. Allie Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Allie Edwards was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.