Sue Sue Harris, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12338 Issued in CA

Practice address

9171 Wilshire Blvd
Penthouse
Beverly Hills, CA 90210-5530

Phone

(818) 753-6655

NPI assigned

Jun 13, 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 names 1

• Sue Harris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124222062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 N EDINBURGH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900466904",
            "telephone_number": "323-651-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD",
            "address_2": "PENTHOUSE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105530",
            "telephone_number": "818-753-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SUE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "HARRIS",
            "credential": "SUE HARRIS, PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jillion T. Harris, MD
• Kristin Harris, MPAP
• Lindsay R Harris, O.D.
• Marcus Duane Harris, RN
• Shannon Bruce Harris, P.T.
• William Crawford Harris, M.D.
• Harry M, Miller, M.D., Inc.
• Harry Marshak, M.D., a Professional Medical Corporation
• Hartford Anesthesia Group Inc
• Hartford Physician Group Inc

• Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.