Active NPI
Harvey J Durbin Jr.
Doing business as abmp clinic
- Clinical Psychologist
- Odessa, TX
National Provider Identifier
1689794554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21610
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085831801 | Medicaid | TX |
Other names 1
- abmp clinic
National Provider Directory
National Provider DirectoryNPI 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.