Active NPI
Clemmie Harris III, APRN,PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024192000
- Practice address
- 732 Thimble Shoals Blvd Ste 202
Newport News, VA 23606-4262 - Phone
- (757) 223-7810
- NPI assigned
- Jan 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024192000 | VA | Primary |
Addresses
Primary practice location
732 Thimble Shoals Blvd Ste 202
Newport News, VA 23606-4262
Mailing address
732 Thimble Shoals Blvd Ste 202
Newport News, VA 23606-4262
Phone (757) 223-7810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
974 Willbrook Rd
Newport News, VA 23602-9101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024192000 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Available Mental Health Services, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Rhodium Care Group Inc | Current | Accepting new patients |
Locations
8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611
732 Thimble Shoals Blvd
Ste 202
Newport News, VA 23606
Phone (757) 223-7810
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Newport News, VA
- NPI 1558722694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1194534487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 THIMBLE SHOALS BLVD STE 202",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064262",
"telephone_number": "757-223-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 THIMBLE SHOALS BLVD STE 202",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064262",
"telephone_number": "757-223-7810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CLEMMIE",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "APRN,PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-02",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024192000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.