Jeffrey D'Neil Harris, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002489 Issued in GA

Practice address

2450 Vinson Highway
Milledgeville, GA 31062-1622

Phone

(770) 906-7430

NPI assigned

Oct 1, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Crossing Point Psychology & Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dallas, GA
  • NPI 1912140682
  NPD (past) Authorized official

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1114010485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 NICKLAUS DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966064",
            "telephone_number": "770-906-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VINSON HIGHWAY",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310621622",
            "telephone_number": "770-906-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFREY",
        "middle_name": "D'NEIL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000977413A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shonda Denise Harden
• Brittney Marie Hardin, ATC, LAT
• Charlotte Manning Harrell, LPC
• John Floyd Harrington Jr., D.D.S.
• Donald Harris
• Amy Nicole Harrison
• Janet Hogan Harrison, D.D.S. P.C.
• Joanna Michelle Harrison
• Mark Holmes Harrison, R.PH.
• Dedra Joan Harvell, MA, S/T

• Clinical Psychologist in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.