Gregory G. Harris, MD, MPH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

79525 Issued in MA

Practice address

1415 Beacon St
Ste 320
Brookline, MA 02446-4812

Phone

(617) 983-0076

Fax

(877) 991-8309

NPI assigned

May 26, 2006

Last updated

Dec 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Boston Plastic Surgery Associates, PC

  • Plastic Surgery Physician
  • Boston, MA
  • NPI 1417955402
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1619923877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 MASSACHUSETTS AVE # 271",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402808",
            "telephone_number": "617-983-0076",
            "fax_number": "877-991-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "STE 320",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464812",
            "telephone_number": "617-983-0076",
            "fax_number": "877-991-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GREGORY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "79525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HAJ14771",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132439",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD MA",
            "identifier": "J14771",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "J14771",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica T. Hannon, APRN, BC
• Happy KJC, LLC (C & C Dental)
• Omar Haque, M.D., PH.D.
• Sarah Elizabeth Harkins
• Thomas William Harrigan, MSW LICSW
• Jennifer Huang Harris, M.D.
• Michelle Ilana Harris, MA, LMHC, ATR
• Joseph Hartigan, D.P.M.
• Harvard St. Dental Assoc,Inc.PC
• Harvard University

• Psychiatry Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.