EDWIN WALLACE JR. BASHAM (ED.D.) – Psychologist, NPI 1962537035

EDWIN WALLACE JR. BASHAM (ED.D.) is a healthcare provider. based in Amarillo, Texas. specializing in Psychologist. They hold the professional credentials ED.D.. They hold a License No. 22625 (TX). The NPI Number for EDWIN WALLACE JR. BASHAM (ED.D.) is 1962537035

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN WALLACE JR. BASHAM (ED.D.)
NPI
1962537035
Phone
(806) 354-0411
Address
3505 OLSEN BLVD
Enumeration Date
22 February 2007
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003703651
Graduation Year
1981 (45 years ago)
PAC ID
1951339514
Group Practice PAC ID
1850204983
Professional Enrollment ID
I20170601000295
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for EDWIN WALLACE JR. BASHAM (ED.D.)

  • 3505 OLSEN BLVD

    SUITE 224

    AMARILLO, TX 791093042

    Phone: (806) 354-0411

    Fax: (806) 354-0466

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes18940$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 79109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850204983View full group profile

Reviews

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Frequently asked questions

Does EDWIN WALLACE JR. BASHAM (ED.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDWIN WALLACE JR. BASHAM (ED.D.) uses 1962537035.
Does CMS list EDWIN WALLACE JR. BASHAM (ED.D.) as active?
Yes — EDWIN WALLACE JR. BASHAM (ED.D.) is active in the NPI listing used on this page.
What is EDWIN WALLACE JR. BASHAM (ED.D.) best known for clinically?
Directory data describes EDWIN WALLACE JR. BASHAM (ED.D.) with Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for EDWIN WALLACE JR. BASHAM (ED.D.)?
EDWIN WALLACE JR. BASHAM (ED.D.)'s geographic hint is Amarillo, Texas in our summary view.
Is the information about EDWIN WALLACE JR. BASHAM (ED.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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