Active NPI
Carol E Harkrader, MD
- Psychiatry Physician
- Purcellville, VA
National Provider Identifier
1023197688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101042107
- Practice address
- 170 West Main St
204
Purcellville, VA 20132 - Phone
- (540) 338-7211
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101042107 | VA | Primary |
Addresses
Primary practice location
170 West Main St
204
Purcellville, VA 20132
Mailing address
PO Box 2279
Purcellville, VA 20134-2279
Phone (540) 338-7211
Other names 1
- Carol Harkrader Pine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Virginia School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17336 Pickwick Dr
Suite 101
Purcellville, VA 20132-6180
Phone (804) 207-6737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101042107 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Counseling Associates Inc | Psychiatry | Current | Accepting new patients |
Locations
9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112
17336 Pickwick Dr
Ste 101
Purcellville, VA 20132
Phone (540) 926-3885
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- granatogroup.carolharkrader@144557.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba LifeStance Health
- Clinical Psychologist
- Mechanicsville, VA
- NPI 1851345805
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023197688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2279",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201342279",
"telephone_number": "540-338-7211",
"fax_number": "866-740-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 WEST MAIN ST",
"address_2": "204",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "20132",
"telephone_number": "540-338-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKRADER",
"first_name": "CAROL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101042107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "PINE",
"middle_name": "HARKRADER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Purcellville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.