Active NPI
Jill Elka Harkaway, ED.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1154475291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4313
- Practice address
- 256 Concord Ave
Cambridge, MA 02138-1337 - Phone
- (617) 497-5491
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4313 | MA | Primary |
Addresses
Primary practice location
256 Concord Ave
Cambridge, MA 02138-1337
Mailing address
27 Storey Dr
Lincoln, MA 01773-2103
Phone (781) 259-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W04294 | Other | MA | BLUE CROSS BLUE SHIELD ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4313 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154475291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 STOREY DR",
"city": "LINCOLN",
"state": "MA",
"postal_code": "017732103",
"telephone_number": "781-259-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381337",
"telephone_number": "617-497-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKAWAY",
"first_name": "JILL",
"middle_name": "ELKA",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "W04294",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.