Individual provider Active NPI

Stephanie Harrison, LP

  • Psychologist
  • Pittsburgh, PA
National Provider Identifier
1790365013
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1258 Issued in WV
Practice address
230 N Craig St Ste B
Pittsburgh, PA 15213-1569
Phone
(412) 621-3777
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1258 WV Primary

Addresses

Primary practice location

230 N Craig St Ste B
Pittsburgh, PA 15213-1569

Mailing address

1370 Washington Pike Ste 303
Bridgeville, PA 15017-2886
Phone (412) 641-7016

Other practice location 1

6315 Forbes Ave Unit L119B&c
Pittsburgh, PA 15217-1745
Phone (412) 621-3777

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

LicenseStateTypeSpecialty
1258WVMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1790365013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 WASHINGTON PIKE STE 303",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172886",
            "telephone_number": "412-641-7016",
            "fax_number": "412-622-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N CRAIG ST STE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131569",
            "telephone_number": "412-621-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6315 Forbes Ave Unit L119B&c",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152171745",
            "country_code": "US",
            "telephone_number": "412-621-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.