NPI Code Details Logo

NPI 1710391560

NPI 1710391560 : JONATHAN EDWARD HARVEY PHD : BROOKLYN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710391560
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JONATHAN EDWARD HARVEY PHD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/19/2014
-----------------------------------------------------
    Last Update Date     |    09/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    26 COURT ST STE 409 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11242-1134
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-671-1386
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    478 E 9TH ST APT 3F 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11218-5250
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    027496
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TB0200X
-----------------------------------------------------
    Taxonomy Name        |    Cognitive & Behavioral Psychologist
-----------------------------------------------------
    License Number       |    027496
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TC2200X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
-----------------------------------------------------
    License Number       |    027496
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.