Individual provider Active NPI

Geoffrey Harris, D.O.

  • Psychiatry Physician
  • Aurora, CO
National Provider Identifier
1770019408
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OP61181089 Issued in WA
Practice address
791 Chambers Rd
Aurora, CO 80011-7112
Phone
(303) 617-2300
Fax
(303) 617-2397
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Psychiatry Physician 2084P0800X TL.0006552 CO
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X OP61181089 WA Primary

Addresses

Primary practice location

791 Chambers Rd
Aurora, CO 80011-7112

Mailing address

791 Chambers Rd
Aurora, CO 80011-7112
Phone (303) 617-2300

Other practice location 1

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

Other practice location 2

11059 E Bethany Dr Ste 238
Aurora, CO 80014-2622
Phone (303) 617-2300 ext. 2341

Other practice location 3

12844 Military Rd S
Tukwila, WA 98168-3045
Phone (206) 248-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927002022 WA Practitioner - Psychiatry 8729485230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TL.0006552COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance for South Sound Health CurrentSince Sep 14, 2023 Accepting new patients

Locations

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

Interoperability endpoints

  • Direct secure messaging: gharris732044@direct.multicare.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1770019408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117112",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117112",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ridgegate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245522",
            "country_code": "US",
            "telephone_number": "720-225-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11059 E Bethany Dr Ste 238",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142622",
            "country_code": "US",
            "telephone_number": "303-617-2300 x2341",
            "fax_number": "303-617-2397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12844 Military Rd S",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981683045",
            "country_code": "US",
            "telephone_number": "206-248-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GEOFFREY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "TL.0006552",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP61181089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.