Individual provider Active NPI

Emily Merrill Harris, PHD

  • Clinical Psychologist
  • Salt Lake City, UT
National Provider Identifier
1578892501
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3409042501 Issued in UT
Practice address
2040 E Murray Holladay Rd Ste 220
Salt Lake City, UT 84117-5123
Phone
(801) 679-3225
Fax
(385) 695-2407
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3409042501 UT Primary

Addresses

Primary practice location

2040 E Murray Holladay Rd Ste 220
Salt Lake City, UT 84117-5123

Mailing address

2040 E Murray Holladay Rd Ste 220
Salt Lake City, UT 84117-5123
Phone (801) 679-3225

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3409042501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Psychological Services PLLC Clinical CurrentSince Oct 6, 2019 Accepting new patients
Holladay Psychological Services PLLC Clinical CurrentSince Oct 6, 2019 Accepting new patients
Valley Mental Health Incorporated Clinical Past Accepting new patients

Locations

2040 E Murray Holladay Rd
Ste 220
Salt Lake City, UT 84117
Phone (801) 679-3106

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1578892501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175123",
            "telephone_number": "801-679-3225",
            "fax_number": "385-695-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175123",
            "telephone_number": "801-679-3225",
            "fax_number": "385-695-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EMILY",
        "middle_name": "MERRILL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "3409042501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.