Active NPI
Nichole B Harrison, M.D.
- Psychiatry Physician
- Bradford, PA
National Provider Identifier
1609888643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD434692
- Practice address
- 110 Campus Dr
Bradford, PA 16701-1982 - Phone
- (814) 362-6535
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 237551-1 | NY | |
| Psychiatry Physician | 2084P0800X | MD434692 | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD434692 | PA |
Addresses
Primary practice location
110 Campus Dr
Bradford, PA 16701-1982
Mailing address
110 Campus Dr
Bradford, PA 16701-1982
Phone (814) 362-6536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237551-1 | NY | MD | Licensed Practical Nurse |
| MD434692 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Guidance Center | Current | Accepting new patients | |
| Pennsylvania Department of Human Services | Current | Accepting new patients | |
| Pennsylvania Department of Public Welfare | Current | Accepting new patients |
Locations
110 Campus Dr
Bradford, PA 16701
Phone (814) 362-6535
33 Main Dr
Warren, PA 16365
Phone (814) 723-5500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- North Warren, PA
- NPI 1790768471
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bradford, PA
- NPI 1831256015
-
- Psychiatry Physician
- Warren, PA
- NPI 1134158314
-
- Psychiatric Hospital
- Allentown, PA
- NPI 1386626919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1609888643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CAMPUS DR",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011982",
"telephone_number": "814-362-6536",
"fax_number": "814-817-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CAMPUS DR",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011982",
"telephone_number": "814-362-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "NICHOLE",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "237551-1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD434692",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD434692",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.