Organization Active NPI

Shelby Harris, PSYD, PC

  • Clinical Psychologist
  • Tarrytown, NY
National Provider Identifier
1720498520
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017288 Issued in NY
Legal business name
SHELBY HARRIS, PSYD, PC
Practice address
200 S Broadway
Suite 201
Tarrytown, NY 10591-4500
Phone
(914) 325-8464
NPI assigned
May 1, 2014
Last updated
May 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Dr. Shelby Harris, PSY.D.
Title
President
Phone
(914) 325-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 017288 NY Primary

Addresses

Primary practice location

200 S Broadway
Suite 201
Tarrytown, NY 10591-4500

Mailing address

200 S Broadway
Suite 201
Tarrytown, NY 10591-4500

National Provider Directory

National Provider Directory

Locations

111 N Central Ave
Ste 275
Hartsdale, NY 10530
Phone (914) 325-8464

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1720498520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "SUITE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "address_2": "SUITE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-325-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY HARRIS, PSYD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-325-8464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.