Paul V. Harris, PSYD, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006095 Issued in IL

Legal business name

PAUL V. HARRIS, PSYD, P.C.

Practice address

155 N Michigan Ave
Suite 301
Chicago, IL 60601-7511

Phone

(312) 263-1388

Fax

(312) 729-5098

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul Vivian Harris, PSYDNPI 1770630717

Title

President

Phone

(312) 263-1388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, TN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Vivian Harris, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1770630717

  TN

  Medicare reassignment Care Compare group NPD Authorized official
• Carolyn Campbell, MSW,ACSW,BCD,LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1528182771
  Medicare reassignment Care Compare group NPD
• Judith A. Zink, M.A., LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1285847780
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1427295260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE",
            "address_2": "SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "312-263-1388",
            "fax_number": "312-729-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE",
            "address_2": "SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "312-263-1388",
            "fax_number": "312-729-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL V. HARRIS, PSYD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-263-1388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paul T. Hackett D.C., P.C. (Lake View Chiropractic)
• Paul Wiemerslage LCSW LLC (Paul Wiemerslage LCSW)
• Anthony Paul, LSW
• Carlie Paul, RD, LDN, CDE
• Colleen Paul, LCPC, CTP
• Elizabeth Lea Paul, LCSW

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.