BLAKE AUSTIN HARRELL DO NPI 1144782731

NPI Information

  • NPI: 1144782731
  • Provider Name: BLAKE AUSTIN HARRELL, DO
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 1100 WILFORD HALL LOOP
    JBSA LACKLAND AFB, TX
    ZIP 78236
  • Phone: (210) 292-7361

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NPI Details

Blake Austin Harrell, DO is a child and adolescent psychiatry psychiatry neurology in Jbsa Lackland Afb, TX. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Blake Austin Harrell, DO NPI is 1144782731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 WILFORD HALL LOOP
JBSA LACKLAND AFB, TX
ZIP 78236-638
Phone: (210) 292-7361

The enumeration date for this NPI number is 4/2/2019 and was last updated on 12/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry0102206355VIRGINIANo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0102206355VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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