Individual provider Active NPI

Joshua Tyler Harrison, PSYD

  • Health Service Psychologist
  • Batesville, IN
National Provider Identifier
1477041317
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
20043132A Issued in IN
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

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
P.07673OHMDClinical Psychologist
20043132AINMDHealth Service Psychologist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.