Individual provider Active NPI

Rick A Harris, PSYD

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1013046945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3355 Issued in FL
Practice address
17100 Royal Palm Blvd
Suite 1
Weston, FL 33326
Phone
(954) 217-2444
Fax
(954) 217-9292
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY3355 FL Primary

Addresses

Primary practice location

17100 Royal Palm Blvd
Suite 1
Weston, FL 33326

Mailing address

17100 Royal Palm Blvd
Suite 1
Weston, FL 33326
Phone (954) 217-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000559 FL Practitioner - Clinical Psychologist 8123001609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harris and Darmanian PLLCGroup PAC ID 7517940091, 9 clinicians

Practice addresses (Care Compare)

1875 N Corporate Lakes Blvd
Suite 300
Weston, FL 33326-3270
Phone (954) 217-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY3355FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris & Darmanian PLLC Clinical CurrentSince Jun 27, 1984 Accepting new patients

Locations

1875 N Corporate Lakes Blvd
Ste 300
Weston, FL 33326
Phone (954) 217-2444

17100 Royal Palm Blvd
Ste 1
Weston, FL 33326
Phone (954) 217-2444

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013046945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 ROYAL PALM BLVD",
            "address_2": "SUITE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-217-2444",
            "fax_number": "954-217-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 ROYAL PALM BLVD",
            "address_2": "SUITE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-217-2444",
            "fax_number": "954-217-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RICK",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.