Waverly Rachel Harrell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4474 Issued in NC

Practice address

4125 Ben Franklin Blvd
Suite 160
Durham, NC 27704-2167

Phone

(919) 479-1600

Fax

(919) 479-5551

NPI assigned

Nov 15, 2013

Last updated

Nov 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric and Psychological Associates of Durham, PLLCGroup PAC ID 4587631130, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychiatric & Psychological Associates of Durham, PLLC

  • Psychologist
  • Durham, NC
  • NPI 1851319784
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1326478058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 BEN FRANKLIN BLVD",
            "address_2": "SUITE 160",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042167",
            "telephone_number": "919-479-1600",
            "fax_number": "919-479-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BEN FRANKLIN BLVD",
            "address_2": "SUITE 160",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042167",
            "telephone_number": "919-479-1600",
            "fax_number": "919-479-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "WAVERLY",
        "middle_name": "RACHEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine Michelle Harrell, MS, EDS, LCMHCA
• John Stuart Harrell
• Katharine T. Harrell, NP
• Matthew Bruce Harrell
• Robert A. Harrell III, M.D.
• Zebulon Harrell
• Christina Harrelson
• Joanna Harrelson, PA-C
• Amanda Rachel Harrington, PA-C, MSPH, R.T.(R)
• Heather Hi Harrington, MSW, LCSWA

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.