Active NPI
Janice Sue Harmon, PSY.D.
- Health Service Psychologist
- Ridgeland, MS
National Provider Identifier
1477535672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 2001014379
- Practice address
- 274 Pine Tree LN
Ridgeland, MS 39157-8257 - Phone
- (601) 941-2236
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY-06506 | FL | |
| Clinical Psychologist | 103TC0700X | 2001014379 | MO | |
| Health Service Psychologist | 103TH0100X | 2001014379 | MO | Primary |
| Rehabilitation Psychologist | 103TR0400X | 2001014379 | MO |
Addresses
Primary practice location
274 Pine Tree LN
Ridgeland, MS 39157-8257
Mailing address
PO Box 1117
Madison, MS 39130-1117
Phone (601) 941-2236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477535672 | Medicaid | MO |
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 |
|---|---|---|---|
| PY-06506 | FL | MD | Clinical Psychologist |
| 2001014379 | MO | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1477535672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1117",
"city": "MADISON",
"state": "MS",
"postal_code": "391301117",
"telephone_number": "601-941-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 PINE TREE LN",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391578257",
"telephone_number": "601-941-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "JANICE",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY-06506",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2001014379",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MO",
"license": "2001014379",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "MO",
"license": "2001014379",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477535672",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.