Active NPI
David M Harvey PHD P a
- Clinical Psychologist
- Ponte Vedra Beach, FL
National Provider Identifier
1174783161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 3912
- Legal business name
- DAVID M HARVEY PHD P A
- Practice address
- 4400 Marsh Landing Blvd
Suite 6
Ponte Vedra Beach, FL 32082-7215 - Phone
- (904) 280-1221
- NPI assigned
- Jun 12, 2008
- 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
- Dr. David Meriwether Harvey, PHD
- Title
- President
- Phone
- (904) 280-1221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 3912 | FL | Primary |
Addresses
Primary practice location
4400 Marsh Landing Blvd
Suite 6
Ponte Vedra Beach, FL 32082-7215
Mailing address
4400 Marsh Landing Blvd
Suite 6
Ponte Vedra Beach, FL 32082-7215
Phone (904) 280-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AK149 | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Ponte Vedra Beach, FL
- NPI 1922052257
-
- Clinical Social Worker
- Ponte Vedra Beach, FL
- NPI 1265539555
-
- Psychologist
- Ponte Vedra Beach, FL
- NPI 1336250083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1174783161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 MARSH LANDING BLVD",
"address_2": "SUITE 6",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320827215",
"telephone_number": "904-280-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 MARSH LANDING BLVD",
"address_2": "SUITE 6",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320827215",
"telephone_number": "904-280-1221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M HARVEY PHD P A",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MERIWETHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-280-1221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 3912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AK149",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.