Organization Active NPI

Michelle Harriman Psychologist a Professional Corporation

  • Psychologist
  • Fullerton, CA
National Provider Identifier
1134636327
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19763 Issued in CA
Legal business name
MICHELLE HARRIMAN PSYCHOLOGIST A PROFESSIONAL CORPORATION
Practice address
1440 N Harbor Blvd Ste 808
Fullerton, CA 92835
Phone
(818) 269-7224
Fax
(772) 679-2402
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Michelle Harriman, PSYD
Title
President/Owner
Phone
(818) 269-7224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY19763 CA Primary

Addresses

Primary practice location

1440 N Harbor Blvd Ste 808
Fullerton, CA 92835

Mailing address

1440 N Harbor Blvd Ste 900
Fullerton, CA 92835-4122
Phone (818) 269-7224

National Provider Directory

National Provider Directory

Locations

1440 N Harbor Blvd
Ste 808
Fullerton, CA 92835
Phone (818) 269-7224

1440 N Harbor Blvd
Ste 900
Fullerton, CA 92835
Phone (714) 213-0492

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1134636327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 900",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354122",
            "telephone_number": "818-269-7224",
            "fax_number": "772-679-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 808",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "818-269-7224",
            "fax_number": "772-679-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HARRIMAN PSYCHOLOGIST A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "HARRIMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-269-7224",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.