Bryan R Harrison PHD Psychologist PC
Organization Active NPI Psychologist · Pittsford, NY
NPI 1710539408 · NPPES record last updated Jul 12, 2019
Key facts
- NPI
- 1710539408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- BRYAN R HARRISON PHD PSYCHOLOGIST PC
- Practice address
- 610 Pittsford Victor Rd
Pittsford, NY 14534-3934 - Phone
- (585) 662-5552
- NPI assigned
- Jul 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Bryan Harrison, PHD
- Title
- Owner/President
- Phone
- (443) 756-9428
Practitioners 3
-
Bryan Robert Harrison, PH.D.
-
Alexandra Popa, PSY.D.
-
Leah Rothschild, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191031000525 | NY | Part B Supplier - Clinic/Group Practice | 3072845767 |
Receives reassigned benefits from 1 practitioner Practice locations: Pittsford, NY |
National Provider Directory
Locations
610 Pittsford Victor Rd
Pittsford, NY 14534
Phone (585) 210-9730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
610 Pittsford Victor Rd
Pittsford, NY 14534-3934
Mailing address
610 Pittsford Victor Rd
Pittsford, NY 14534-3934
Phone (585) 662-5552
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | admin@bryanharrisonphd.com |
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.