Individual provider Active NPI

Harvey Cary Parker, PH.D.

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1801108402
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2491 Issued in FL
Practice address
300 NW 70TH Ave
Suite 102
Plantation, FL 33317-2384
Phone
(954) 792-8100
Fax
(954) 792-8545
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY2491 FL Primary

Addresses

Primary practice location

300 NW 70TH Ave
Suite 102
Plantation, FL 33317-2384

Mailing address

300 NW 70TH Ave
Suite 102
Plantation, FL 33317-2384
Phone (954) 792-8100

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

State licenses

LicenseStateTypeSpecialty
PY2491FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1801108402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-792-8100",
            "fax_number": "954-792-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-792-8100",
            "fax_number": "954-792-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "HARVEY",
        "middle_name": "CARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.