Shelly P. Harrell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY11531 Issued in CA

Practice address

10700 Santa Monica Blvd
Suite 315
Los Angeles, CA 90025-4768

Phone

(424) 209-2223

Fax

(888) 380-7835

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1518415215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254768",
            "telephone_number": "424-209-2223",
            "fax_number": "888-380-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254768",
            "telephone_number": "424-209-2223",
            "fax_number": "888-380-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "SHELLY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11531",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11531",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY11531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ross Harpold, MFT
• Katy Harrall
• Bless Harrell
• Donald S Harrell, M.D.
• Kathryn Marie Harrell, PH.D.
• Veatrice Harrell, RADT
• Laura Leanne Harrelson, MS
• Presley Harrelson
• Markus Erik Harrigan, PHD
• Elaine Harrington, RN

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.