Active NPI
Harvey J Durbin Jr., PHD
- Clinical Psychologist
- Odessa, TX
National Provider Identifier
1871669440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21610
- Practice address
- 855 Central
Suite 31B
Odessa, TX 79761 - Phone
- (432) 550-9208
- Fax
- (432) 550-0139
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 21610 | TX | Primary |
Addresses
Primary practice location
855 Central
Suite 31B
Odessa, TX 79761
Mailing address
PO Box 60104
Midland, TX 79711
Phone (432) 550-9208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085831801 | Medicaid | TX |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21610 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1871669440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60104",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79711",
"telephone_number": "432-550-9208",
"fax_number": "432-550-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 CENTRAL",
"address_2": "SUITE 31B",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-550-9208",
"fax_number": "432-550-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURBIN",
"first_name": "HARVEY",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "21610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085831801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.