Active NPI
Michelle Harriman Psychologist a Professional Corporation
- Psychologist
- Fullerton, CA
National Provider Identifier
1134636327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY19763
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.