Randall Jay Harris, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017283 Issued in PA

Practice address

1765 Goucher St
Johnstown, PA 15905-1101

Phone

(814) 535-8586

NPI assigned

May 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellness Works Counseling, LLCGroup PAC ID 8224474606, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wellness Works Counseling, LLC

  • Mental Health Counselor
  • Butler, PA
  • NPI 1376318774
  Medicare reassignment Care Compare group NPD
• Mary B Berge, PH.D.

  • Psychologist
  • Johnstown, PA
  • NPI 1982654935
  Medicare reassignment
• Dr. Mary Berge and Associates, LLC

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1063783678
  NPD (past)
• Emurgent Care PLLC

  • General Practice Physician
  • Laredo, TX
  • NPI 1740055953
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1659548725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 N MCKEAN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014928",
            "telephone_number": "814-535-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051101",
            "telephone_number": "814-535-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RANDALL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Harper, PHARMD
• Catherine Lynch Harrigan, REGISTERED NURSE
• Brianne Marie Harrington, LPC
• James Dale Harrington
• Marilyn Joy Harrington, CRNP
• Harrison-Kulback Eyecare
• Shari Lynn Harrison, OD
• Mark B Harshberger, LCSW
• Christopher James Hartland, D.C.
• Robert Theodore Hartman, DO

• Clinical Psychologist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.