DR. JERAMIE JUDD HARBIN


Address: 325 Administration Building, University of Arkansas, Fayetteville, AR 72701
Phone: 4795755007

DR. JERAMIE JUDD HARBIN (NPI# 1255463477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255463477
Entity Type Individual
Full Name DR. JERAMIE JUDD HARBIN
Credential PH.D.
Practice Address 325 Administration Building
University of Arkansas
Fayetteville
AR 72701
Practice Telephone 4795755007
Practice Fax Number 4795757547
Mailing Telephone 4795755007
Mailing Fax Number 4795757547
Enumeration Date 2007-03-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 003P AR Behavioral Health & Social Service Providers
X 103TC1900X Psychologist
Specialization: Counseling
003P AR Behavioral Health & Social Service Providers
X 103TH0100X Psychologist
Specialization: Health Service
003P AR Behavioral Health & Social Service Providers
X 103TP2701X Psychologist
Specialization: Group Psychotherapy
003P AR Behavioral Health & Social Service Providers

Office Location

Street Address 325 ADMINISTRATION BUILDING
UNIVERSITY OF ARKANSAS
City FAYETTEVILLE
State AR
Zip Code 72701

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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