Active NPI
Lauren Harris, PSYD
- Clinical Psychologist
- Plainfield, IL
National Provider Identifier
1750838629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009326
- Practice address
- 24012 W Renwick Rd
Unit 204a
Plainfield, IL 60544-8731 - Phone
- (815) 676-4688
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009326 | IL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 071009326 | IL |
Addresses
Primary practice location
24012 W Renwick Rd
Unit 204a
Plainfield, IL 60544-8731
Mailing address
24012 W Renwick Rd
Unit 204a
Plainfield, IL 60544-8731
Phone (815) 676-4688
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009326 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1750838629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24012 W RENWICK RD",
"address_2": "UNIT 204A",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448731",
"telephone_number": "815-676-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24012 W RENWICK RD",
"address_2": "UNIT 204A",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448731",
"telephone_number": "815-676-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LAUREN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009326",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IL",
"license": "071009326",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.