Robert Harrison, CCP

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

10930 N Tatum Blvd
103
Phoenix, AZ 85028-6069

Phone

(602) 263-7600

Fax

(602) 212-0365

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659409001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 N TATUM BLVD",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286069",
            "telephone_number": "602-263-7600",
            "fax_number": "602-212-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 N TATUM BLVD",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286069",
            "telephone_number": "602-263-7600",
            "fax_number": "602-212-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ROBERT",
        "credential": "CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary Harrison, MSW
• Lequenda Ileasha Harrison
• Michele Sproviero Harrison, M.D
• Michelle Harrison
• Quincy Meekell Harrison, ND
• Robin Harrison, MA, CCC-SLP
• Sara Harrison, LCSW
• Stephanie M. Harrison, MSN-FNP, RN, PHRN
• Steven Vance Harrison III, PA-C
• Tammy Harrison, LMT

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.