Individual provider Active NPI

Rebecca Caroline Harvey, PSY.D.

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1841482361
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1637 Issued in KY
Practice address
943 NE 19TH Ave
Ste 205
Ft Lauderdale, FL 33304-3043
Phone
(954) 740-9037
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 1637 KY Primary

Addresses

Primary practice location

943 NE 19TH Ave
Ste 205
Ft Lauderdale, FL 33304-3043

Mailing address

943 NE 19TH Ave
Ste 205
Ft Lauderdale, FL 33304-3043
Phone (954) 740-9037

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1841482361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 NE 19TH AVE",
            "address_2": "STE 205",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043043",
            "telephone_number": "954-740-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 NE 19TH AVE",
            "address_2": "STE 205",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043043",
            "telephone_number": "954-740-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "REBECCA",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.