Organization Active NPI

Deborah a Harrison PHD & Assoc

  • Clinical Psychologist
  • Naples, FL
National Provider Identifier
1700942091
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3967 Issued in FL
Legal business name
DEBORAH A HARRISON PHD & ASSOC
Practice address
501 Goodlette Rd N
Suite a-202
Naples, FL 34102-5661
Phone
(239) 732-5959
Fax
(239) 732-5955
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Deborah Anne Harrison, PH.D.
Title
Owner
Phone
(239) 732-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY3967 FL Primary

Addresses

Primary practice location

501 Goodlette Rd N
Suite a-202
Naples, FL 34102-5661

Mailing address

501 Goodlette Rd N
Suite a-202
Naples, FL 34102-5661
Phone (239) 732-5959

Other identifiers 1

IdentifierTypeStateIssuer
38696OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

27499 Riverview Center Blvd
Ste 125
Bonita Springs, FL 34134
Phone (239) 289-9796

8300 College Pkwy
Ste 204
Fort Myers, FL 33919
Phone (239) 289-9796

501 Goodlette Rd
Ste A202
Naples, FL 34102
Phone (239) 732-5959

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1700942091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE RD N",
            "address_2": "SUITE A-202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025661",
            "telephone_number": "239-732-5959",
            "fax_number": "239-732-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE RD N",
            "address_2": "SUITE A-202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025661",
            "telephone_number": "239-732-5959",
            "fax_number": "239-732-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A HARRISON PHD & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-732-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.