Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003097775 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Lynn Edwards , PsyD, LP

Psychologist • Andover, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2007
NPI Deactivation Date June 20, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Edwards, PsyD, LP was a registered Psychologist practicing in Andover, MN. Throughout an active medical career spanning 13 years, Dr. Edwards provided care at the practice location at 16150 CROSSTOWN BLVD NW until profile deactivation on 2020-06-20.

Practice Location & Contact Primary Location

Practice Address

16150 Crosstown Blvd Nw

Andover, MN 553042111

Telephone 7633084858

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Andover, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Andover, MN (1833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP4998

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
⚠️
NPI Profile Deactivated June 20, 2020

Record deactivated on June 20, 2020

⚠️
NPI Profile Deactivated June 19, 2020

Record deactivated on June 19, 2020

NPI Profile Active December 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2014

Registered at 16150 CROSSTOWN BLVD NW, ANDOVER, MN 553042111 (Tel: 7633084858)

📍
Updated Business Mailing Address December 05, 2014

Registered at 7525 4TH AVE, LINO LAKES, MN 550141006 (Tel: 7633084858)

👤
Provider Name / Credentials Updated December 05, 2014

Recorded as THOMAS EDWARDS, PSYD, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2014

Psychologist (License #LP4998 in MN)

🟢
Initial NPI Registration & Enumeration November 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Thomas Edwards. Be the first to share your experience!

Sign in to leave a review for Dr. Thomas Edwards

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003097775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2007
Last Update: December 05, 2014
Deactivation Date: June 20, 2020

Mailing Address

7525 4th Ave

Lino Lakes, MN 550141006

Phone: 7633084858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.