Active NPI
David W Harrison, PHD
- Clinical Neuropsychologist
- Salem, VA
National Provider Identifier
1295899805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810001479
- Practice address
- 1900 Electric Rd
Salem, VA 24153-7474 - Phone
- (540) 776-4449
- Fax
- (540) 345-6795
- NPI assigned
- Dec 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0810001479 | VA | Primary |
Addresses
Primary practice location
1900 Electric Rd
Salem, VA 24153-7474
Mailing address
PO Box 10382
Blacksburg, VA 24062-0382
Phone (540) 776-4449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007754116 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychological & Counseling Services, Inc. | Past | Accepting new patients | |
| Neuropsychological and Counseling Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Blacksburg, VA
- NPI 1316925068
-
- Specialist
- Salem, VA
- NPI 1295863561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1295899805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10382",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240620382",
"telephone_number": "540-776-4449",
"fax_number": "540-345-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ELECTRIC RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537474",
"telephone_number": "540-776-4449",
"fax_number": "540-345-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810001479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007754116",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.