Robert Mark Harris, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21790 Issued in NC

Practice address

2260 S Church St Ste 303
Greater Burlington Mental Health Services, Easter Seals
Burlington, NC 27215-5389

Phone

(336) 585-1737

Fax

(336) 585-9540

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313798400000",
    "number": "1295844959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 S CHURCH ST STE 303",
            "address_2": "GREATER BURLINGTON MENTAL HEALTH SERVICES, EASTER SEALS",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155389",
            "telephone_number": "336-585-1737",
            "fax_number": "336-585-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 S CHURCH ST STE 303",
            "address_2": "GREATER BURLINGTON MENTAL HEALTH SERVICES, EASTER SEALS",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155389",
            "telephone_number": "336-585-1737",
            "fax_number": "336-585-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "21790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137YG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Harris, OWNER
• Kendria D. Harris, M.A., L.C.A.S., CSI
• Laquan Monic Harris, LCMHCA
• Martha Laqueta Harris, RN
• Maurcus I Harris, LCSW
• Robert Paul Harris, MD
• Taylor Harris
• Taylor Smith Harris, NP
• Keri Kolleen Harrison, PHARMD, BS
• Myah Harrison, PA

• Psychiatry Physician in Burlington, NC
• Providers in Burlington, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2011; 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.