Individual provider Active NPI

Harvey Marle Presser, M.D.

  • Psychiatry Physician
  • Northridge, CA
National Provider Identifier
1467541284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A28716 Issued in CA
Practice address
17339 Ballinger St
Northridge, CA 91325-2004
Phone
(818) 993-9949
Fax
(818) 993-0293
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A28716 CA Primary

Addresses

Primary practice location

17339 Ballinger St
Northridge, CA 91325-2004

Mailing address

6708 Foothill Blvd
Suite 203
Tujunga, CA 91042-2743
Phone (818) 352-1464

Other identifiers 1

IdentifierTypeStateIssuer
00A287160MedicaidCA

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 Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467541284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 FOOTHILL BLVD",
            "address_2": "SUITE 203",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422743",
            "telephone_number": "818-352-1464",
            "fax_number": "818-993-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17339 BALLINGER ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252004",
            "telephone_number": "818-993-9949",
            "fax_number": "818-993-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSER",
        "first_name": "HARVEY",
        "middle_name": "MARLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A28716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A287160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

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.

Verify at the official NPI Registry.