Active NPI
Joshua Tyler Harrison, PSYD
- Health Service Psychologist
- Batesville, IN
National Provider Identifier
1477041317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 20043132A
- Practice address
- 321 Mitchell Ave
Batesville, IN 47006-8909 - Phone
- (812) 934-6624
- NPI assigned
- Apr 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.07673 | OH | |
| Health Service Psychologist | 103TH0100X | 20043132A | IN | Primary |
Addresses
Primary practice location
321 Mitchell Ave
Batesville, IN 47006-8909
Mailing address
PO Box 223
Batesville, IN 47006-0223
Phone (812) 933-5441
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JOSHUA.HARRISON@mmhealth.cernerdirect.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.07673 | OH | MD | Clinical Psychologist |
| 20043132A | IN | MD | Health Service Psychologist |
Interoperability endpoints
- joshua.harrison@mmhealth.cernerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1477041317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470060223",
"telephone_number": "812-933-5441",
"fax_number": "812-933-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MITCHELL AVE",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470068909",
"telephone_number": "812-934-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JOSHUA",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-26",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.07673",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IN",
"license": "20043132A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JOSHUA.HARRISON@mmhealth.cernerdirect.com",
"affiliation": "N",
"address_1": "321 Mitchell Ave",
"city": "Batesville",
"state": "IN",
"country_code": "US",
"postal_code": "470068909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Batesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.