Susan E Harrell, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP4024 Issued in AZ

Practice address

10270 N 67 Ave
Suite 106
Glendale, AZ 85302-1005

Phone

(602) 389-3560

Fax

(623) 933-3510

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. S Elizabeth Harrell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Solutions of Sobriety LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1083371769
  NPD
• Compass Mental Health, LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1881737849
  NPD (past)
• Composs Mental Health

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1316279680
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1760775837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-685-6000",
            "fax_number": "602-685-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10270 N 67 AVE",
            "address_2": "SUITE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021005",
            "telephone_number": "602-389-3560",
            "fax_number": "623-933-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S",
            "last_name": "HARRELL",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany Harley
• Garret F Harnett, DDS, MS, PC
• Gail Frances Harper, MA LPC
• Donald Harraghy, OD
• Rhonda Janessa Harrell, OTD, OTR/L
• Cameron Harrington
• Carla L Harris
• Dillon C Harris, DPT
• James Kevin Harris
• James Thomas Harris

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.