Renee Harris, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301071674 Issued in MI

Practice address

43902 Woodward Ave Ste 230
Bloomfield Hills, MI 48302-5022

Phone

(248) 481-8428

Fax

(248) 977-5462

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Judson Center IncGroup PAC ID 5698906907, 10 clinicians

Michigan Institute of Performance and HealthGroup PAC ID 3779840442, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michigan Institute of Performance and Health

  • Multi-Specialty Clinic/Center
  • Bloomfield Hills, MI
  • NPI 1174041321
  Medicare reassignment Care Compare group NPD
• Judson Center, Inc.

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1033264890
  Medicare reassignment Care Compare group
• County of Macomb

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton TWP, MI
  • NPI 1942532197
  Medicare reassignment NPD
• County of Macomb

  • Public Health or Welfare Agency
  • Mount Clemens, MI
  • NPI 1760462253
  NPD

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1043350895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29279 WILLOWICK CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761713",
            "telephone_number": "248-885-0471",
            "fax_number": "248-977-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE STE 230",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025022",
            "telephone_number": "248-481-8428",
            "fax_number": "248-977-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301071674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4212673",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "2605801692",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Harb, RPH
• Colton Harder, BS
• Michelle Harman, PT, DPT
• Harold Z. Friedman MD PC
• Camille Harris
• Shakari D Harris, LMSW
• Anita Harvey, P.T.
• Kyle Harvey
• Kendra Renne Hatcher
• Haven Lee Homes LLC

• Psychiatry Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.