Roger M. Harris, MD

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

161279 Issued in NY

Practice address

34 S Broadway
Suite 206
White Plains, NY 10601-4400

Phone

(914) 761-1642

Fax

(914) 761-1644

NPI assigned

Sep 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1366638769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105300714",
            "telephone_number": "914-713-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY",
            "address_2": "SUITE 206",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014400",
            "telephone_number": "914-761-1642",
            "fax_number": "914-761-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROGER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "161279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haroldo Jezler Acupuncture, PLLC
• Emily Rae Harper, MSN, FNP-BC, BSN, RN
• Carla Amoy Linda Harris
• Debra Jean Harris, LCSW
• Hope Diane Harris, RN
• Stephanie Harris
• Lena Harrison, FNP
• Elliana Harrold, OTR/L
• David Harshbarger
• Brenda Hart

• Forensic Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Forensic Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.