Jeff Eugene Harris, PH.D.
Individual provider Active NPI Psychologist · Las Cruces, NM
NPI 1265164347 · NPPES record last updated Jun 28, 2022
Key facts
- NPI
- 1265164347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY1539 (NM)
- Practice address
- 2326 La Senda Dr
Las Cruces, NM 88011-9179 - Phone
- (940) 435-8858
- NPI assigned
- Jun 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mescalero Indian Hospital
Practice addresses (Care Compare)
318 Abalone Loop
Mescalero, NM 88340-9213
Phone (575) 464-4441
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240918004204 | TX | Practitioner - Clinical Psychologist | 9638610520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1539 | NM | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mescalero Indian Hospital | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1539 | NM | Yes |
Addresses
Primary practice location
2326 La Senda Dr
Las Cruces, NM 88011-9179
Mailing address
2326 La Senda Dr
Las Cruces, NM 88011-9179
Phone (940) 435-8858
Other providers in Las Cruces, NM
- Camilla R Harris
- Christine Harris
- Claudia Harris
- Courtaisia Harris
- Esmeralda Harris
- Kerry Shawn Harris
- Leon X Harris
- Myelle Rhiannon Harris
- Nancy Harris
- Tresa Harris
All providers in Las Cruces, NM · Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.