Organization Active NPI

Northwest Florida Psychological Services, P.a.

  • Psychologist
  • Mary Esther, FL
National Provider Identifier
1881908689
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0007168 Issued in FL
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

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. Julie Harper, PSY.D.NPI 1558335570
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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.