Melissa Harrison, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5938 Issued in FL

Practice address

11555 Heron Bay Blvd Ste 200
Coral Springs, FL 33076-3362

Phone

(954) 603-0077

Fax

(954) 603-0401

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Melissa Harrison, LLC

  • Clinical Psychologist
  • Coral Springs, FL
  • NPI 1720536717
  Medicare reassignment NPD Authorized official
• Christian L Koppel MD PA

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1457623514
  NPD (past)
• Florida Anesthesia Associates P a

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1740264118
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1932196201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 HERON BAY BLVD STE 200",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763362",
            "telephone_number": "954-603-0077",
            "fax_number": "954-603-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 HERON BAY BLVD STE 200",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763362",
            "telephone_number": "954-603-0077",
            "fax_number": "954-603-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Harriott
• Matthew Ryan Harris, LCSW
• Meryl Harris
• Monique Harris
• Shauna Harris
• Hart Assisted Living, LLC
• Rebecca Harter, LCSW
• Lisa Ann Hartman, ARNP
• Richard Craig Hartwell, RPH
• Ann Marie Harty, LCSW

• Clinical Psychologist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.