DR. LAUREL JARVIS PH.D.
NPI 1003100512
Psychologist - Clinical in Fort Drum, NY

Q: What is Laurel Jarvis's NPI number?

The NPI number for Laurel Jarvis is 1003100512. It was assigned to this individual provider in the NPPES registry on June 1, 2011. The provider is also known as Laurel Shuster.

Q: What is Laurel Jarvis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Laurel Jarvis was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2011

11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC, FORT DRUM, NY 13602(315) 772-4850 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Sep 9, 2024 (2 updates tracked since 2024).

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About Dr. Laurel Jarvis Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREL JARVIS PH.D. (NPI 1003100512) is an individual clinical provider in Fort Drum, New York, licensed in Virginia (0810002101) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1003100512

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LAUREL JARVISCredential: PH.D.

Location Address11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDACFort Drum, NY 13602-5438

Mailing Address15980 County Route 181Clayton, NY 13624-3108 · (202) 270-8988

Phone(315) 772-4850

Sole ProprietorNo

Enumeration DateJune 1, 2011

Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1003100512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in VA · 0810002101✔ Licensed in NY · 025329

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602

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Other Names 1

Former Name (1)Laurel Shuster

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID LEWIS KEYES RPA-C

Physician Assistant

11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602

Jefferson County (315) 772-5508

BRADY SIMPKINS PA-C

Physician Assistant

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (802) 258-0301

MS. MARY ANGELA MACCULLOCH LCSW

Social Worker (Clinical)

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-7624

DR. ISAAC P MILLS DO

Family Medicine

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-2778

SAVITRI MOTAPARTHI M.D.

Pediatrics

11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602

Jefferson County (315) 772-4025

DR. LUTHER ROSWELL WIEST D.O.

Family Medicine

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-3679

MADISON GERMAN LCSW

Social Worker (Clinical)

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-2778

DR. DAVID ANDREW PAUL

Optometrist

11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602

Jefferson County (315) 772-4025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Jarvis's NPI number?

The NPI number for Laurel Jarvis is 1003100512. It was assigned to this individual provider in the NPPES registry on June 1, 2011. The provider is also known as Laurel Shuster.

Where is Laurel Jarvis located?

Laurel Jarvis practices at 11050 Mount Belvedere Blvd Behavioral Health Department, Meddac, Fort Drum, NY 13602. The listed phone number is (315) 772-4850.

What is Laurel Jarvis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Laurel Jarvis was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.