Aaron A Harris, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-203086 Issued in ID

Practice address

1301 E 17TH St
Idaho Falls, ID 83404-6273

Phone

(406) 848-4906

NPI assigned

Aug 3, 2006

Last updated

Jan 17, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Adolpho Enterprise LLC.Group PAC ID 1254552581, 6 clinicians

Full Spectrum Psychology LLCGroup PAC ID 8325536931, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Spectrum Psychology LLC

  • Psychologist
  • Idaho Falls, ID
  • NPI 1982418257
  Medicare reassignment Care Compare group NPD Authorized official
• Adolpho Enterprise LLC.

  dba One Love Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1932454642
  Medicare reassignment Care Compare group NPD
• Aaron a Harris PHD PC

  dba Harris Psychology

  • Psychologist
  • Idaho Falls, ID
  • NPI 1972314912
  NPD Authorized official
• Adolpho Enterprise LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1063340586
  NPD (past)
• Psychology Center of Idaho Falls

  • Clinical Neuropsychologist
  • Idaho Falls, ID
  • NPI 1780010090
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1669480091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5272 LONG COVE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048288",
            "telephone_number": "208-419-9238",
            "fax_number": "208-598-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046273",
            "telephone_number": "406-848-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AARON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2171",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-203086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Harrington, LPC
• Amy J Harrington, LMSW
• Melina Nicole Harrington, DPT
• Harris & Allen Dental
• Harris Dental
• Ben Harris, MSW
• Duncan Dwaynne Harris, M.D.
• Hailey Decalyn Harris
• James B Harris, MD
• Jay M. Harris

• Clinical Psychologist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.