Victor D Harrell, LMSW, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601009949 Issued in MI

Practice address

6001 W Outer Dr Ste 207
Detroit, MI 48235-2626

Phone

(313) 966-2800

Fax

(313) 966-7797

NPI assigned

Sep 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vharrell564424@direct.hfhs.org

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.

• Marvic Health, LLC

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1811767981
  NPD Authorized official
• Advanced Psychiatric Services PLLC

  • Geriatric Psychiatry Physician
  • Bloomfield Hills, MI
  • NPI 1306252531
  Medicare reassignment
• New Life Alternatives LLC

  • Multi-Specialty Clinic/Center
  • Berkley, MI
  • NPI 1033759659
  Medicare reassignment
• Wasif Hafeez MD PC

  • Infectious Disease Physician
  • West Bloomfield, MI
  • NPI 1861613739
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1922409002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR STE 207",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352626",
            "telephone_number": "313-966-2800",
            "fax_number": "313-966-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR STE 207",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352626",
            "telephone_number": "313-966-2800",
            "fax_number": "313-966-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "VICTOR",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LMSW, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090790",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedrick D Harrell, CHW
• Ester Verlie Harrell, BSW
• Gloria Harrell
• Jason Harrell
• Renee Yvette Harrell, LMSW
• Michaela Harrington
• Nora Lynn Harrington
• Sean Thomas Harrington, LMSW
• Harris & Watson Investments LLC
• Harris and Associates PC

• Medical Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.