Holly Nicole Harris, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6460 Issued in OH

Practice address

6404 Thornberry CT
Suite 430
Mason, OH 45040-3502

Phone

(513) 229-7585

Fax

(513) 229-7731

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Professional Psychiatric Services, LLC

  • Psychiatry Physician
  • West Chester, OH
  • NPI 1538115092
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1194876268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 THORNBERRY CT",
            "address_2": "SUITE 430",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403502",
            "telephone_number": "513-229-7585",
            "fax_number": "513-229-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 THORNBERRY CT",
            "address_2": "SUITE 430",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403502",
            "telephone_number": "513-229-7585",
            "fax_number": "513-229-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Harover
• Malia Harper, MD
• Katherine Ann Harrahill, L.M.T.
• Allison M Harris
• Donald Richard Harris, PT, DPT
• Nile Nefertari Harris, LPN
• Ryan Gregory Harris, DMD, MS
• Teresa Lynn Harris
• Tiffany Ann Harris, DMD, MS
• Jessica C Hartman, LISW

• Clinical Psychologist in Mason, OH
• Providers in Mason, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.