Active NPI
William Harnell
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1124690524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1623
- Practice address
- 1428 Brickell Ave Ste 403
Miami, FL 33131-3436 - Phone
- (305) 915-5748
- NPI assigned
- Jul 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1623 | AZ | Primary |
Addresses
Primary practice location
1428 Brickell Ave Ste 403
Miami, FL 33131-3436
Mailing address
1633 SW Bellevue Ave
Port Saint Lucie, FL 34953-1104
Phone (415) 671-9995
Other practice location 1
1255 W Baseline Rd
Mesa, AZ 85202-5820
Phone (480) 687-3620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1124690524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 SW BELLEVUE AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349531104",
"telephone_number": "415-671-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 BRICKELL AVE STE 403",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313436",
"telephone_number": "305-915-5748"
}
],
"practiceLocations": [
{
"address_1": "1255 W Baseline Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852025820",
"country_code": "US",
"telephone_number": "480-687-3620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARNELL",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-14",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "1623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.