Active NPI
John Craig Harrison, MA LICENSED PA PSYCH
- Clinical Psychologist
- Pottstown, PA
National Provider Identifier
1346367471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS007413L
- Practice address
- 361 High St
Suite 103
Pottstown, PA 19464 - Phone
- (610) 326-9250
- Fax
- (610) 327-8726
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 Psychologist | 103TC0700X | PS007413L | PA | Primary |
Addresses
Primary practice location
361 High St
Suite 103
Pottstown, PA 19464
Mailing address
212 High St
Suite 103
Pottstown, PA 19464
Phone (484) 941-0500
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
- Master of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007413L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Services, Inc. | Past | 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.
-
- Case Management Agency
- Pottstown, PA
- NPI 1922214121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346367471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HIGH ST",
"address_2": "SUITE 103",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "19464",
"telephone_number": "484-941-0500",
"fax_number": "484-941-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 HIGH ST",
"address_2": "SUITE 103",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "19464",
"telephone_number": "610-326-9250",
"fax_number": "610-327-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JOHN",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "MA LICENSED PA PSYCH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS007413L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.