Active NPI
Jean K Harley, LP
- Psychologist
- Woodbury, MN
National Provider Identifier
1720183767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3595
- Practice address
- 7650 Currell Blvd
Suite 130
Woodbury, MN 55125-2257 - Phone
- (651) 714-8007
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3595 | MN | Primary |
Addresses
Primary practice location
7650 Currell Blvd
Suite 130
Woodbury, MN 55125-2257
Mailing address
1680 Bellows St
Saint Paul, MN 55118-3805
Phone (651) 647-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3595 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Center for Personal & Family Development PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1285730903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720183767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 BELLOWS ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551183805",
"telephone_number": "651-647-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 CURRELL BLVD",
"address_2": "SUITE 130",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252257",
"telephone_number": "651-714-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "JEAN",
"middle_name": "K",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "3595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.