Individual provider Active NPI

David Meriwether Harvey, PHD

  • Clinical Psychologist
  • Ponte Vedra Beach, FL
National Provider Identifier
1922052257
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 3912 Issued in FL
Practice address
4400 Marsh Landing Blvd
Suite 6
Ponte Vedra Beach, FL 32082-7215
Phone
(904) 280-1221
Fax
(425) 962-0007
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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 PY 3912 FL Primary

Addresses

Primary practice location

4400 Marsh Landing Blvd
Suite 6
Ponte Vedra Beach, FL 32082-7215

Mailing address

4400 Marsh Landing Blvd
Suite 6
Ponte Vedra Beach, FL 32082-7215
Phone (904) 280-1221

Other identifiers 2

IdentifierTypeStateIssuer
75994ZOtherFLMEDICARE PTAN
593622637OtherFLFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000583 FL Practitioner - Clinical Psychologist 4688745532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Carolina at Chapel Hill School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4400 Marsh Landing Blvd
Suite 104
Ponte Vedra Beach, FL 32082-1287
Phone (904) 280-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 3912FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David M Harvey PHD P a Clinical CurrentSince Dec 1, 2007 Accepting new patients
James November PHD PA Clinical PastSince Aug 31, 1998 Accepting new patients

Locations

4400 Marsh Landing Blvd
Ste 104
Ponte Vedra Beach, FL 32082
Phone (904) 280-1221

4400 Marsh Landing Blvd
Ste 6
Ponte Vedra Beach, FL 32082
Phone (904) 256-7231

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1922052257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MARSH LANDING BLVD",
            "address_2": "SUITE 6",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320827215",
            "telephone_number": "904-280-1221",
            "fax_number": "425-962-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MARSH LANDING BLVD",
            "address_2": "SUITE 6",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320827215",
            "telephone_number": "904-280-1221",
            "fax_number": "425-962-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "DAVID",
        "middle_name": "MERIWETHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 3912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "75994Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "593622637",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.