Individual provider Active NPI

Sheryl Whalen Harrison, PH.D.

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1417184615
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
822 Issued in AZ
Practice address
6609 N Scottsdale Rd
Ste 103
Scottsdale, AZ 85250-7801
Phone
(480) 483-9066
Fax
(623) 465-1556
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 822 AZ Primary

Addresses

Primary practice location

6609 N Scottsdale Rd
Ste 103
Scottsdale, AZ 85250-7801

Mailing address

515 E Carefree Hwy
Ste. 328
Phoenix, AZ 85085-8839
Phone (480) 483-9066

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

State licenses

LicenseStateTypeSpecialty
822AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1417184615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E CAREFREE HWY",
            "address_2": "STE. 328",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858839",
            "telephone_number": "480-483-9066",
            "fax_number": "623-465-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 N SCOTTSDALE RD",
            "address_2": "STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507801",
            "telephone_number": "480-483-9066",
            "fax_number": "623-465-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SHERYL",
        "middle_name": "WHALEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.