Organization Active NPI

Cynthia Pollans Harris, PH.D.,P.a

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1124399142
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003936 Issued in FL
Legal business name
CYNTHIA POLLANS HARRIS, PH.D.,P.A
Practice address
8030 Peters Rd
Suite D106
Plantation, FL 33324-4038
Phone
(954) 475-9503
Fax
(954) 476-2369
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Cynthia Pollans Harris, PH.D.NPI 1790834000
Title
Clinical Psychologist
Phone
(954) 475-9503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY0003936 FL Primary

Addresses

Primary practice location

8030 Peters Rd
Suite D106
Plantation, FL 33324-4038

Mailing address

8030 Peters Rd
Suite D106
Plantation, FL 33324-4038
Phone (954) 475-9503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000362 FL Part B Supplier - Clinic/Group Practice 0941469480 Receives reassigned benefits from 3 practitioners
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1124399142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUITE D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUITE D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA POLLANS HARRIS, PH.D.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "POLLANS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-475-9503",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.