JOHN ROBERT HARRISON (NPI# 1295750636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295750636 |
| Entity Type | Individual |
| Full Name | JOHN ROBERT HARRISON |
| Credential | PHD |
| Practice Address |
2825 Fort Missoula Rd Ste 301 Missoula MT 59804-7403 |
| Practice Telephone | 4063274688 |
| Practice Fax Number | 4063274291 |
| Mailing Telephone | 4063274688 |
| Mailing Fax Number | 4063274291 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 226 | MT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY-PSY-LIC-226 | MT | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
59040 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0492524 | 05 | |
| MT | BCBS PROVIDER NUMBER | 000052321 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144625682 | John Harrison | General Practice | 4935 Robin Hood Dr, Ashland, KY 41101-6835 | 2014-10-27 |
| 1518395821 | John Harrison | Specialist | 1402 N Edgewater Dr, Port Clinton, OH 43452-2825 | 2013-10-23 |
| 1942637368 | John Harrison | Counselor | 3748 Floral Ave, Cincinnati, OH 45212-3945 | 2013-09-30 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| 1609004779 | John Alton Harrison | Military Health Care Provider | 104 Windermere Cir, Perry, GA 31069-4109 | 2009-06-29 |
| 1912024696 | John B Harrison | Dentist | 545 4th Ave S, St Petersburg, FL 33701-4408 | 2007-03-26 |
| 1801970058 | John Harrison | Dentist | 16374 Hotchkiss Valley Rd. East, Loudon, TN 37774-0938 | 2006-10-24 |
| 1366547960 | John Scott Harrison | Chiropractor | 4010 W 65th St Ste 120, Edina, MN 55435-1724 | 2006-09-14 |
| 1275540635 | John Bondurant Harrison | Dentist | 213 Green Cove Rd Se, Huntsville, AL 35803-3005 | 2006-08-01 |
| 1801827480 | John Whately Harrison | Psychiatry & Neurology | Dhhs Naihs Phs Kayenta Health Center, Hwy 160/163 Building Ka2010, Kayenta, AZ 86033 | 2006-07-05 |
| Street Address |
2825 FORT MISSOULA RD STE 301 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642577 | John K Beighle | Podiatrist | 2825 Fort Missoula Rd, Ste 106, Missoula, MT 59804-7420 | 2005-07-12 |
| 1306379037 | Generations Family Medicine and Obstetrics | Family Medicine | 2825 Fort Missoula Rd, Suite 115, Missoula, MT 59804 | 2017-04-10 |
| 1922540343 | Wellcare Ime, LLC | Specialist | 2825 Fort Missoula Rd, Community Bldg 1, Suite 101, Missoula, MT 59804-7420 | 2016-11-16 |
| 1487084547 | Michelle Sokoloski | Nurse Practitioner | 2825 Fort Missoula Rd, Suite113, Missoula, MT 59804-7420 | 2013-11-26 |
| 1689973570 | T Shull Lemire Md LLC | Internal Medicine | 2825 Fort Missoula Rd, Ste 317b, Missoula, MT 59804-7420 | 2011-03-18 |
| 1497058572 | Montana Foot and Ankle Institute, Pllc | Clinic/Center | 2825 Fort Missoula Rd, Suite #106, Missoula, MT 59804-7420 | 2010-12-13 |
| 1063727279 | Clancy L. Cone, Md, PC | Clinic/Center | 2825 Fort Missoula Rd, Missoula, MT 59804-7420 | 2010-08-11 |
| 1609192160 | James M Summers, Do & Associates PC | Obstetrics & Gynecology | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7480 | 2010-04-08 |
| 1548594591 | Lynn Marie Graham | Physician Assistant | 2825 Fort Missoula Rd, Suite 130, Missoula, MT 59804-7420 | 2009-09-23 |
| 1851545594 | Thomas A. Baumgartner Md PC | Specialist | 2825 Fort Missoula Rd, Suite 304, Missoula, MT 59804-7420 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055640 | Craig Mcfarland | Clinical Neuropsychologist | 313 E Beckwith Ave, Missoula, MT 59801-5838 | 2015-10-16 |
| 1346273968 | Montana Neurocare Pllc | Clinical Neuropsychologist | 2825 Fort Missoula Rd Ste 301, Missoula, MT 59804-7403 | 2006-07-08 |
| 1285685800 | Robert Velin | Clinical Neuropsychologist | 1622 South Ave W, Missoula, MT 59801-7804 | 2006-05-16 |
| 1255679411 | Robert Stuart Hall | Clinical Neuropsychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2013-01-23 |
| 1063797686 | Bria A Dunkin | Clinical Neuropsychologist | 601 W Spruce St Ste K, Missoula, MT 59802-4047 | 2011-10-14 |
| 1245400787 | William D. Patenaude, Phd PC | Clinical Neuropsychologist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2008-03-11 |
| 1780809020 | Kelly Lynn Pearce | Clinical Neuropsychologist | 1622 South Ave W, Missoula, MT 59801-7804 | 2007-04-13 |
| 1326174566 | Jacqueline Day | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-02-24 |
| 1386793289 | Patricia Lee Webber | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-01-09 |
| 1649227059 | Paul Bach | Clinical Neuropsychologist | 900 N Orange St, Third Floor, Missoula, MT 59802-2998 | 2006-05-30 |
| Find all providers in MISSOULA | ||||
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| 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.