Organization Active NPI

Harvey J Durbin Jr.

Doing business as abmp clinic

  • Clinical Psychologist
  • Odessa, TX
National Provider Identifier
1689794554
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21610 Issued in TX
Legal business name
HARVEY J DURBIN JR.
Doing business as
abmp clinic
Practice address
855 Central Dr Ste 31B
Odessa, TX 79761-4246
Phone
(432) 550-9208
Fax
(432) 550-0139
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. Harvey J Durbin Jr., PH.D.
Title
Clinical Psychologist
Phone
(432) 550-9208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 21610 TX Primary

Addresses

Primary practice location

855 Central Dr Ste 31B
Odessa, TX 79761-4246

Mailing address

PO Box 60104
Midland, TX 79711-0104
Phone (432) 550-9208

Other identifiers 1

IdentifierTypeStateIssuer
085831801MedicaidTX

Other names 1

  • abmp clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1689794554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60104",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797110104",
            "telephone_number": "432-550-9208",
            "fax_number": "432-550-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CENTRAL DR STE 31B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614246",
            "telephone_number": "432-550-9208",
            "fax_number": "432-550-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY J DURBIN JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "432-550-9208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085831801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "abmp clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.