Thomas Edward Harbaugh, PHD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1947 Issued in MN

Practice address

7362 University Ave NE
Suite 209
Fridley, MN 55432-3142

Phone

(612) 825-4407

Fax

(612) 825-0768

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Southwest Family Serivces

  • Group Psychotherapy Psychologist
  • Minneapolis, MN
  • NPI 1659443992
  NPD (past)
• Umatter Wellness LLC

  • Mental Health Counselor
  • Fridley, MN
  • NPI 1881379824
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1225138084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 HENNEPIN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082619",
            "telephone_number": "612-825-8322",
            "fax_number": "612-825-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE",
            "address_2": "SUITE 209",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "612-825-4407",
            "fax_number": "612-825-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBAUGH",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "952050300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Hamer
• Michala Hamilton, RN
• Steven Paul Hanovich, MD
• Gregory R Hanson, MD
• Louis Hanson
• Megan Haresdin, OD
• Chris Harlander
• Harmony Healing Place LLC
• Amanda Boelen Harrington, LICSW
• Riley Harris

• Psychologist in Fridley, MN
• Providers in Fridley, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.