Active NPI
Jeramie Judd Harbin, PH.D.
- Group Psychotherapy Psychologist
- Fayetteville, AR
National Provider Identifier
1255463477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- 003P
- Practice address
- 325 Administration Building
University of Arkansas
Fayetteville, AR 72701 - Phone
- (479) 575-5007
- Fax
- (479) 575-7547
- NPI assigned
- Mar 12, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 003P | AR | |
| Counseling Psychologist | 103TC1900X | 003P | AR | |
| Health Service Psychologist | 103TH0100X | 003P | AR | |
| Group Psychotherapy Psychologist | 103TP2701X | 003P | AR | Primary |
Addresses
Primary practice location
325 Administration Building
University of Arkansas
Fayetteville, AR 72701
Mailing address
325 Administration Building
University of Arkansas
Fayetteville, AR 72701
Phone (479) 575-5007
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003P | AR | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1255463477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 ADMINISTRATION BUILDING",
"address_2": "UNIVERSITY OF ARKANSAS",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72701",
"telephone_number": "479-575-5007",
"fax_number": "479-575-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ADMINISTRATION BUILDING",
"address_2": "UNIVERSITY OF ARKANSAS",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72701",
"telephone_number": "479-575-5007",
"fax_number": "479-575-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBIN",
"first_name": "JERAMIE",
"middle_name": "JUDD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "003P",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AR",
"license": "003P",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "AR",
"license": "003P",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "AR",
"license": "003P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.