Individual provider Active NPI

Erin Harris, PSYCHOLOGIST

  • Psychologist
  • Whittier, CA
National Provider Identifier
1174855191
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23291 Issued in CA
Practice address
9200 Colima Rd
Ste 206
Whittier, CA 90605-1814
Phone
(562) 945-5454
Fax
(562) 693-1184
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY23291 CA Primary

Addresses

Primary practice location

9200 Colima Rd
Ste 206
Whittier, CA 90605-1814

Mailing address

9200 Colima Rd
Ste 206
Whittier, CA 90605-1814
Phone (562) 945-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000205 CA Practitioner - Clinical Psychologist 7214126804 Practice locations: Whittier, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9200 Colima Rd
Suite 206
Whittier, CA 90605-1814
Phone (562) 945-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY23291CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Behavior Medicine Past Accepting new patients
Litos O. Mallare, M.D., Inc. Past Accepting new patients
Behavioral Health Medical Group of Beverly Hills Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1174855191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 COLIMA RD",
            "address_2": "STE 206",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051814",
            "telephone_number": "562-945-5454",
            "fax_number": "562-693-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 COLIMA RD",
            "address_2": "STE 206",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051814",
            "telephone_number": "562-945-5454",
            "fax_number": "562-693-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ERIN",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.