Active NPI
Mary H. Harrell, PH. D.
- Psychologist
- Oswego, NY
National Provider Identifier
1285865766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017351
- Practice address
- 38 Brown Dr
Oswego, NY 13126-6066 - Phone
- (315) 216-6094
- Fax
- (315) 216-6094
- NPI assigned
- Aug 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017351 | NY | Primary |
Addresses
Primary practice location
38 Brown Dr
Oswego, NY 13126-6066
Mailing address
38 Brown Dr
Oswego, NY 13126-6066
Phone (315) 216-6094
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary H Harrell Psychologist, PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Charlotte, NC
- NPI 1992387179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249171200000",
"number": "1285865766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 BROWN DR",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131266066",
"telephone_number": "315-216-6094",
"fax_number": "315-216-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 BROWN DR",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131266066",
"telephone_number": "315-216-6094",
"fax_number": "315-216-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "MARY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-02",
"last_updated": "2009-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.