Individual provider Active NPI

James R Harrison, PH.D.

  • Clinical Psychologist
  • Paris, TX
National Provider Identifier
1174565006
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23242 Issued in TX
Practice address
737 Lamar Ave
Paris, TX 75460
Phone
(781) 927-7319
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23242 TX Primary

Addresses

Primary practice location

737 Lamar Ave
Paris, TX 75460

Mailing address

737 Lamar Ave
Paris, TX 75460-4479

Other practice location 1

8103 Brodie Lane
Suite 1
Austin, TX 78745-7475
Phone (512) 282-2282

Other identifiers 1

IdentifierTypeStateIssuer
032851001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080917000236 TX Practitioner - Clinical Psychologist 2062589070 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23242TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Center for Therapy and Assessment CurrentSince Apr 7, 2021 Accepting new patients
Applied Psychology Group of Texoma PA Clinical PastSince Oct 11, 2011 Accepting new patients
Diversified Consulting, Inc. Clinical Past Accepting new patients

Locations

8103 Brodie Ln
Ste 1
Austin, TX 78745
Phone (512) 282-2282

5920 W William Cannon Dr
Bldg 6-222
Austin, TX 78749
Phone (512) 282-2282

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1174565006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "781-927-7319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8103 Brodie Lane",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787457475",
            "country_code": "US",
            "telephone_number": "512-282-2282",
            "fax_number": "512-282-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032851001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.