Active NPI
Northwest Florida Psychological Services, P.a.
- Psychologist
- Mary Esther, FL
National Provider Identifier
1881908689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0007168
- Legal business name
- NORTHWEST FLORIDA PSYCHOLOGICAL SERVICES, P.A.
- Practice address
- 151 Mary Esther Blvd
Ste 308a
Mary Esther, FL 32569-1972 - Phone
- (850) 226-7322
- Fax
- (850) 226-7491
- NPI assigned
- Aug 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Julie Harper, PSY.D.
- Title
- Licensed Psychologist
- Phone
- (850) 226-7322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY0007168 | FL | Primary |
Addresses
Primary practice location
151 Mary Esther Blvd
Ste 308a
Mary Esther, FL 32569-1972
Mailing address
519 Boulder St
Crestview, FL 32536-2251
Phone (850) 226-7322
National Provider Directory
National Provider DirectoryLocations
5465 Woodbine Rd
Pace, FL 32571
Phone (850) 226-7322
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Mary Esther, FL
- NPI 1558335570
-
- Counselor
- Mary Esther, FL
- NPI 1952375933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445558400000",
"number": "1881908689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 BOULDER ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325362251",
"telephone_number": "850-226-7322",
"fax_number": "850-226-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MARY ESTHER BLVD",
"address_2": "STE 308A",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691972",
"telephone_number": "850-226-7322",
"fax_number": "850-226-7491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST FLORIDA PSYCHOLOGICAL SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-04",
"last_updated": "2015-10-23",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "850-226-7322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY0007168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.