EDWIN WALLACE BASHAM JR. ED.D.
NPI 1962537035
Psychologist in Amarillo, TX

Active since February 22, 2007PECOS Enrolled
92.18/100
CMS Quality Rating
3505 OLSEN BLVD, SUITE 224, AMARILLO, TX 79109(806) 354-0411(806) 354-0466 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edwin Wallace Basham Jr. Ed.d. NPPES

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

EDWIN WALLACE BASHAM JR. ED.D. (NPI 1962537035) is an individual psychologist in Amarillo, Texas, licensed in Texas (22625) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962537035
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameEDWIN WALLACE BASHAM JR.Credential: ED.D.
Location Address3505 OLSEN BLVD, SUITE 224Amarillo, TX 79109-3042
Mailing Address3505 Olsen Blvd, Suite 224Amarillo, TX 79109-3042 · (806) 354-0411 · Fax (806) 354-0466
Fax(806) 354-0466
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1962537035 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 TX · 22625
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.

3505 OLSEN BLVD, Amarillo, TX 79109

Other Identifiers 1

Medicare ID-Type Unspecified00G39CTX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edwin Wallace Basham Jr. Ed.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
233 services28 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
76 services36 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
60 services59 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.04
Improvement Activities40

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 Edwin Basham's NPI number?

The NPI number for Edwin Basham is 1962537035. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Edwin Basham located?

Edwin Basham practices at 3505 Olsen Blvd Suite 224, Amarillo, TX 79109. The listed phone number is (806) 354-0411.

What is Edwin Basham's specialty?

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

Is Edwin Basham enrolled in Medicare?

Yes. Edwin Basham is registered in the Medicare PECOS enrollment system.

What insurance does Edwin Basham accept?

Health plans from Baylor Scott and White Health Plan list Edwin Basham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwin Basham was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.