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Individual provider Active NPI

Mark T Harvey, PHD, BCBA

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1760711444
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-03-1312 Issued in TN
Practice address
150 W University Blvd
Dept. of Psychology; Florida Institute of Technology
Melbourne, FL 32901-6982
Phone
(321) 674-8104
NPI assigned
Dec 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-03-1312 TN Primary

Addresses

Primary practice location

150 W University Blvd
Dept. of Psychology; Florida Institute of Technology
Melbourne, FL 32901-6982

Mailing address

150 W University Blvd
Dept. of Psychology; Florida Institute of Technology
Melbourne, FL 32901-6982
Phone (321) 674-8104

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1760711444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W UNIVERSITY BLVD",
            "address_2": "DEPT. OF PSYCHOLOGY; FLORIDA INSTITUTE OF TECHNOLOGY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329016982",
            "telephone_number": "321-674-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W UNIVERSITY BLVD",
            "address_2": "DEPT. OF PSYCHOLOGY; FLORIDA INSTITUTE OF TECHNOLOGY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329016982",
            "telephone_number": "321-674-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "PHD, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-03-1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.