Active NPI
Shanette Marie Harris, PH.D.
- Clinical Psychologist
- Providence, RI
National Provider Identifier
1760151401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS00524
- Practice address
- 10 Dorrance St Ste 700
Providence, RI 02903-2014 - Phone
- (888) 684-2779
- NPI assigned
- Sep 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS00524 | RI | Primary |
Addresses
Primary practice location
10 Dorrance St Ste 700
Providence, RI 02903-2014
Mailing address
2 Pleasant View Ave
Johnston, RI 02919-4310
Phone (401) 499-0864
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | happierliving.com | Health Information Exchange (HIE) | HLCA, Inc. |
| Other URL | happierliving.com | HLCA, Inc. |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00524 | RI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1760151401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PLEASANT VIEW AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029194310",
"telephone_number": "401-499-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DORRANCE ST STE 700",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029032014",
"telephone_number": "888-684-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SHANETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00524",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "happierliving.com",
"affiliation": "Y",
"affiliationName": "HLCA, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "8235 Santa Monica Blvd",
"address_2": "Suite 300",
"city": "West Hollywood",
"state": "CA",
"country_code": "US",
"postal_code": "90046",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "happierliving.com",
"affiliation": "Y",
"affiliationName": "HLCA, Inc.",
"address_1": "10 Dorrance St Ste 700",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029032014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.