Organization Active NPI

David K Harris MD PC

  • Health Service Psychologist
  • Livonia, MI
National Provider Identifier
1063706141
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
4301060044 Issued in MI
Legal business name
DAVID K HARRIS MD PC
Practice address
19500 Middlebelt Rd
Suite 350E
Livonia, MI 48152-2196
Phone
(248) 477-0110
Fax
(248) 477-0111
NPI assigned
Jun 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Dr. David Harris, M.D.
Title
Owner/Operator
Phone
(248) 477-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X 4301060044 MI Primary

Addresses

Primary practice location

19500 Middlebelt Rd
Suite 350E
Livonia, MI 48152-2196

Mailing address

19500 Middlebelt Rd
Suite 350E
Livonia, MI 48152-2196
Phone (248) 477-0110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1063706141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 MIDDLEBELT RD",
            "address_2": "SUITE 350E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522196",
            "telephone_number": "248-477-0110",
            "fax_number": "248-477-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 MIDDLEBELT RD",
            "address_2": "SUITE 350E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522196",
            "telephone_number": "248-477-0110",
            "fax_number": "248-477-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K HARRIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "248-477-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "MI",
            "license": "4301060044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.