JOHN ROBERT HARRISON PHD - NPI 1295750636 - Clinical Neuropsychologist in Missoula, MT

Q: What is John Harrison's NPI number?

The NPI number for John Harrison is 1295750636. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is John Harrison's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for John Harrison was last updated on April 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About John Robert Harrison Phd NPPES

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

JOHN ROBERT HARRISON PHD (NPI 1295750636) is an individual clinical neuropsychologist in Missoula, Montana, licensed in Montana (PSY-PSY-LIC-226) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Missoula, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1295750636

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameJOHN ROBERT HARRISONCredential: PHD

Location Address601 W SPRUCE ST STE KMissoula, MT 59802-4047

Mailing AddressPo Box 31001-4110Pasadena, CA 91110-4110 · (406) 327-3330 · Fax (406) 327-2399

Phone(406) 327-3330

Fax(406) 327-2399

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJuly 13, 2006

Last NPPES UpdateApril 20, 20252 updates tracked since enumeration

NPPES CertifiedApril 20, 2025

✔ NPI 1295750636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MT · PSY-PSY-LIC-226

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License PSY-PSY-LIC-226 (MT)

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 59040 (MT)

601 W SPRUCE ST STE K, Missoula, MT 59802

Open in Google Maps ↗

Secondary Practice Location 1

Location 12825 FORT MISSOULA RD, STE 301MISSOULA, MT 59804-7403 · Phone (406) 327-4688 · Fax (406) 327-4291

Other Identifiers 2

Medicaid0492524MT

Other000052321MT · Bcbs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Robert Harrison Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305815812

PECOS Enrollment IDI20041004001168

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

REBECCA CASEY BURKE M.D.

Internal Medicine (Hospice and Palliative Medicine)