Active NPI
Lauren Camille Jarmie Harris, PH.D.
- Clinical Psychologist
- Kingman, AZ
National Provider Identifier
1396333498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY005306
- Practice address
- 2601 N Stockton Hill Rd Ste E1
Kingman, AZ 86401-4167 - Phone
- (928) 514-8614
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY005306 | AZ | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY005306 | AZ |
Addresses
Primary practice location
2601 N Stockton Hill Rd Ste E1
Kingman, AZ 86401-4167
Mailing address
2601 N Stockton Hill Rd Ste E1
Kingman, AZ 86401-4167
Phone (928) 514-8614
Other names 1
- Dr. L. Camille Jarmie Harris
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY005306 | AZ | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1396333498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N STOCKTON HILL RD STE E1",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014167",
"telephone_number": "928-514-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N STOCKTON HILL RD STE E1",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864014167",
"telephone_number": "928-514-8614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARMIE HARRIS",
"first_name": "LAUREN",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY005306",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AZ",
"license": "PSY005306",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "L.",
"last_name": "JARMIE HARRIS",
"middle_name": "CAMILLE",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.