Individual provider Active NPI

George M. Harper, ED.D.

  • Psychologist
  • Independence, IA
National Provider Identifier
1114906476
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00355 Issued in IA
Practice address
515 2ND St NE
Independence, IA 50644-1915
Phone
(319) 334-6820
Fax
(319) 334-7086
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00355 IA Primary

Addresses

Primary practice location

515 2ND St NE
Independence, IA 50644-1915

Mailing address

515 2ND St NE
Independence, IA 50644-1915
Phone (319) 334-6820

Other identifiers 1

IdentifierTypeStateIssuer
13342OtherIABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000265 IA Practitioner - Clinical Psychologist 8022093087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 2ND St NE
Independence, IA 50644-1915
Phone (319) 334-6820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00355IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Assessment Service, PC CurrentSince Aug 7, 1990 Accepting new patients

Locations

515 2nd St NE
Independence, IA 50644
Phone (319) 334-6820

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1114906476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 2ND ST NE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506441915",
            "telephone_number": "319-334-6820",
            "fax_number": "319-334-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 2ND ST NE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506441915",
            "telephone_number": "319-334-6820",
            "fax_number": "319-334-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "GEORGE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "13342",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, IA

Sources for this page

Verify at the official NPI Registry.