DR. JUDITH DEGRAZIA HARRINGTON (NPI# 1245356112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245356112 |
| Entity Type | Individual |
| Full Name | DR. JUDITH DEGRAZIA HARRINGTON |
| Other Name | DR. JUDITH DEGRAZIA WILLARD |
| Credential | PHD |
| Practice Address |
3000 Murvihill Rd Valparaiso IN 46383-5960 |
| Practice Telephone | 2194620246 |
| Practice Fax Number | 2194620226 |
| Mailing Telephone | 2194620246 |
| Mailing Fax Number | 2194620226 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 20042329A | IN | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 1919 | AZ | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | PY0315 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300017655 | 05 | |
| NV | 002602075 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 908 Roosevelt Rd Ste K, Valparaiso, IN 463834376 | 7024992942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558499145 | Judith Ann Harrington | Counselor | 2330 Highland Ave S, Birmingham, AL 35205-2912 | 2007-03-02 |
| Street Address |
3000 MURVIHILL RD |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184766289 | Marcia A Palmer | Pharmacist | 3000 Murvihill Rd, Valparaiso, IN 46383-5960 | 2007-02-13 |
| 1356968499 | Sarah Nicole Flores | Counselor | 3000 Murvihill Rd, Valparaiso, IN 46383-5960 | 2020-07-05 |
| 1093205015 | Elizabeth Anne Boesel | Counselor | 3000 Murvihill Rd, Valparaiso, IN 46383-5960 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| 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 |
|---|---|---|---|---|
| 1285865378 | Anps-in LLC | Clinical Neuropsychologist | 908 Roosevelt Rd, Suite K, Valparaiso, IN 46383-4375 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1497273015 | Jana Beth Dykstra | Clinical Neuropsychologist | 355 W 16th Street Goodman Hall, Indianapolis, IN 46202 | 2017-09-04 |
| 1558779355 | Neurobehavioral Consultants, LLC | Clinical Neuropsychologist | 4356 N College Ave, Indianapolis, IN 46205-1932 | 2014-07-24 |
| 1275973257 | Courtney Beth Johnson | Clinical Neuropsychologist | 2680 E Main St Ste 114, Plainfield, IN 46168-2827 | 2013-07-05 |
| 1619275807 | Renee Elizabeth Buskirk | Clinical Neuropsychologist | 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 | 2011-03-11 |
| 1417251109 | Bradford J Eaton Phd | Clinical Neuropsychologist | 15744 Sunrise Trl, Granger, IN 46530-9034 | 2011-01-10 |
| 1306170626 | Elizabeth Begyn | Clinical Neuropsychologist | 541 Clinical Dr # Cl285, Indianapolis, IN 46202-5233 | 2009-09-21 |
| 1215101696 | Michelle Anne Keiski | Clinical Neuropsychologist | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2008-04-17 |
| 1669641114 | Estes Neuropsychology, LLC | Clinical Neuropsychologist | 1655 N Gladstone Ave Ste D, Columbus, IN 47201-5380 | 2008-02-28 |
| 1457538977 | Javan Lee Horwitz | Clinical Neuropsychologist | 755 W Carmel Dr Ste 205, Carmel, IN 46032-5878 | 2008-01-28 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.