Provider Demographics
NPI:1467402073
Name:HARVEY, DAVID SHAWN (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SHAWN
Last Name:HARVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 N LURING DR STE 3
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6829
Mailing Address - Country:US
Mailing Address - Phone:760-609-0005
Mailing Address - Fax:760-232-8007
Practice Address - Street 1:169 N LURING DR STE 3
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6829
Practice Address - Country:US
Practice Address - Phone:760-609-0005
Practice Address - Fax:760-232-8007
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000215982084P0800X
CAG1775392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051550308Medicaid
AL051518115OtherBCBS OF AL
G03150Medicare UPIN
AL051550308Medicaid