DR. EDWARD JOHN NORTHAM PH.D. NPI 1326059072

NPI Information

NPI: 1326059072
Provider Name: DR. EDWARD JOHN NORTHAM, PH.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
923 16TH AVE S
NAMPA, ID
ZIP 83651
Phone: (208) 965-8788
Get Directions

DR. Edward John Northam, PH.D. is a professional counselor in Nampa, ID. DR. Edward John Northam, PH.D. NPI is 1326059072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

923 16TH AVE S
NAMPA, ID
ZIP 83651-731
Phone: (208) 965-8788
Fax: (208) 965-2789

The enumeration date for this NPI number is 8/10/2006 and was last updated on 11/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	406	NEBRASKA	No
2	101YP2500X	Counselor	Professional	5698	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	345988000	OTHER	NEBRASKA	MAGELLAN
2	114961	OTHER	NEBRASKA	VALUE OPTIONS
3	84913	OTHER	NEBRASKA	BLUE CROSS BLUE SHIELD
4	91185390826	MEDICAID	NEBRASKA
5	91185390827	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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