Individual provider Active NPI

Elizabeth Harris

  • School Psychologist
  • Clifton Park, NY
National Provider Identifier
1386074557
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
7 Southside Dr
Suite 206
Clifton Park, NY 12065-3887
Phone
(518) 280-4294
Fax
(518) 280-4297
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NY Primary

Addresses

Primary practice location

7 Southside Dr
Suite 206
Clifton Park, NY 12065-3887

Mailing address

7 Southside Dr
Suite 206
Clifton Park, NY 12065-3887
Phone (518) 280-4294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1386074557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHSIDE DR",
            "address_2": "SUITE 206",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653887",
            "telephone_number": "518-280-4294",
            "fax_number": "518-280-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHSIDE DR",
            "address_2": "SUITE 206",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653887",
            "telephone_number": "518-280-4294",
            "fax_number": "518-280-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.