Individual provider Active NPI

Lauren Camille Jarmie Harris, PH.D.

  • Clinical Psychologist
  • Kingman, AZ
National Provider Identifier
1396333498
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY005306 Issued in AZ
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
PSY005306AZMDClinical 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.

Verify at the official NPI Registry.