Active NPI
Kimberly Harrison, MSED., NCSP
- School Psychologist
- Jamaica, NY
National Provider Identifier
1194096305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1185551
- Practice address
- 9110 146TH St
Jamaica, NY 11435-4301 - Phone
- (718) 468-9000
- Fax
- (718) 464-2017
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1185551 | NY | Primary |
Addresses
Primary practice location
9110 146TH St
Jamaica, NY 11435-4301
Mailing address
9110 146TH St
Jamaica, NY 11435-4301
Phone (718) 468-9000
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 |
|---|---|---|---|
| 1185551 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1194096305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9110 146TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114354301",
"telephone_number": "718-468-9000",
"fax_number": "718-464-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9110 146TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114354301",
"telephone_number": "718-468-9000",
"fax_number": "718-464-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KIMBERLY",
"credential": "MSED., NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1185551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.