Jessica Purtan Harrell, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301010406 Issued in MI

Practice address

5665 W Maple Rd
Suite a
West Bloomfield, MI 48322-3741

Phone

(248) 767-5985

Fax

(248) 626-8836

NPI assigned

Mar 11, 2008

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

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1679743181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 W MAPLE RD",
            "address_2": "SUITE A",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223741",
            "telephone_number": "248-767-5985",
            "fax_number": "248-626-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 W MAPLE RD",
            "address_2": "SUITE A",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223741",
            "telephone_number": "248-767-5985",
            "fax_number": "248-626-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JESSICA",
        "middle_name": "PURTAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301010406",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Harding, MSW
• Karen Hardy-Johnson
• Greta Elnora Harney, C.R.N.A.
• David Leonard Harold, M.D.
• Latricia Junaita Harper
• Laqueda Harrell
• Jacquelyn Harrington, RPH
• Rebecca J Harris
• Naudia Jean Beecher Harrison
• Angela Hart, SLP

• Clinical Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.