Organization Active NPI

Sandy Harper PC

  • Psychologist
  • Tyler, TX
National Provider Identifier
1477049252
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24006 Issued in TX
Legal business name
SANDY HARPER PC
Practice address
2010 Sybil LN Ste 100
Tyler, TX 75703-1817
Phone
(903) 596-8118
NPI assigned
Jul 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Sandra Lou Harper, PHDNPI 1033127279
Title
President
Phone
(903) 596-8118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 24006 TX Primary

Addresses

Primary practice location

2010 Sybil LN Ste 100
Tyler, TX 75703-1817

Mailing address

2010 Sybil LN Ste 100
Tyler, TX 75703-1817
Phone (903) 596-8118

Other identifiers 1

IdentifierTypeStateIssuer
24006OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

2010 Sybil Ln
Ste 100
Tyler, TX 75703
Phone (903) 596-8118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1477049252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SYBIL LN STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031817",
            "telephone_number": "903-596-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SYBIL LN STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031817",
            "telephone_number": "903-596-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY HARPER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-596-8118",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.