Mary H Harrell Psychologist, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MARY H HARRELL PSYCHOLOGIST, PLLC

Practice address

15720 Brixham Hill Ave Ste 300
Charlotte, NC 28277-4784

Phone

(803) 802-7143

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mary H Harrell, PHDNPI 1285865766

Title

Organizer/Memper

Phone

(315) 529-1013

Specialties & licenses 1

Addresses

Other names 1

• Mary H Harrell Psychology, PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary H. Harrell, PH. D.

  • Psychologist
  • Oswego, NY
  • NPI 1285865766
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1992387179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 GREGORY JON CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297070091",
            "telephone_number": "315-529-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774784",
            "telephone_number": "803-802-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY H HARRELL PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ORGANIZER/MEMPER",
        "authorized_official_telephone_number": "315-529-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary H Harrell Psychology, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Ann Marullo, M.A.
• Nancy D. Marvin, MSN, RN, NP-C
• Paul Emmet Marvin, OD
• Amy C Marx, PT
• Mary a Martin NP BC
• Mary Henderson Whittaker, PLLC
• Mary Lucas Lacey
• Mary'S Helping Hands
• Marye Assistance Group LLC
• Alona Leonidovna Marzouq

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.