Organization Active NPI

Harrison Psychological Consultations, LLC

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1538429196
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041897A Issued in IN
Legal business name
HARRISON PSYCHOLOGICAL CONSULTATIONS, LLC
Practice address
920 N Shadeland Ave
Suite G-6a
Indianapolis, IN 46219-4898
Phone
(317) 600-1620
Fax
(317) 351-0321
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Dr. Julie Harrison, PHDNPI 1407890700
Title
President
Phone
(317) 600-1620

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20041897A IN Primary

Addresses

Primary practice location

920 N Shadeland Ave
Suite G-6a
Indianapolis, IN 46219-4898

Mailing address

PO Box 19313
Indianapolis, IN 46219-0313
Phone (317) 600-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120615000543 IN Part B Supplier - Clinic/Group Practice 1052575388 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

920 N Shadeland Ave
Ste G6A
Indianapolis, IN 46219
Phone (317) 600-1620

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": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1538429196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19313",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462190313",
            "telephone_number": "317-600-1620",
            "fax_number": "317-351-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N SHADELAND AVE",
            "address_2": "SUITE G-6A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194898",
            "telephone_number": "317-600-1620",
            "fax_number": "317-351-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON PSYCHOLOGICAL CONSULTATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-600-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041897A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.