Ebony Patterson-Harvey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5060 N 19TH Ave # 317-8
Phoenix, AZ 85015-3210

Phone

(706) 825-6089

NPI assigned

Nov 28, 2022

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peachtree Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1700596087
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1619687993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 421",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153214",
            "telephone_number": "706-825-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE # 317-8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153210",
            "telephone_number": "706-825-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON-HARVEY",
        "first_name": "EBONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5060 N 19th Ave # 317-8",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850153210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie C Pattee
• Jimmy Ray Patten, DMD
• Lori Marie Patten, R.PH.
• Patterson Gastroenterology PLLC (Patterson Pediatric Gastroenterology PLLC)
• Patterson Schlotterer Medical Group (PS Medical Group)
• Donald Patterson
• Dorothy Patterson
• Edward L Patterson Jr., M.D.
• Eean Patterson
• Elizabeth June Patterson, RRT

• Behavior Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.