Patricia Harrison MD P L

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

ME71795 Issued in FL

Legal business name

PATRICIA HARRISON MD P L

Practice address

1025 N. Beal Pkwy
Suite B-1
Fort Walton Beach, FL 32547-1481

Phone

(850) 862-4960

Fax

(850) 862-4529

NPI assigned

Sep 25, 2008

Last updated

Oct 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Harrison, MD

Title

President/Owner

Phone

(850) 862-4960

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1184874224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N. BEAL PKWY",
            "address_2": "SUITE B-1",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471481",
            "telephone_number": "850-862-4960",
            "fax_number": "850-862-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N. BEAL PKWY",
            "address_2": "SUITE B-1",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471481",
            "telephone_number": "850-862-4960",
            "fax_number": "850-862-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA HARRISON MD P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-862-4960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "ME71795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253694300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43326",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Parkton, APRN
• Anna C Pate, PHARM.D
• Amit Patel, MD
• Charmy Hiteshbhai Patel
• Jaimin Patel, M.D
• Jeremiah Daniel Patrick, DMD
• Patriotmed of Kansas, P.a.
• Paul J Kalin
• Charlotte Paulk, MED CF SLP
• Christopher Peter Paulson, M.D.

• Adult Mental Health Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.