Edris Goolsby Harrell, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

520 Rothbury Rd
Wilmington, DE 19803-2440

Phone

(302) 764-5309

Fax

(302) 792-7389

NPI assigned

Dec 2, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366510646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ROTHBURY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032440",
            "telephone_number": "302-764-5309",
            "fax_number": "302-792-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROTHBURY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032440",
            "telephone_number": "302-764-5309",
            "fax_number": "302-792-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLSBY HARRELL",
        "first_name": "EDRIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• School Psychologist in Delaware

• 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.

Verify at the official NPI Registry.