Keith Harris, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3237 Issued in OR

Practice address

336 NE Norton Ave Ste 1
Bend, OR 97701-4386

Phone

(541) 797-3657

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Basecamp Counseling & Consulting Services LLC

  • Adult Mental Health Clinic/Center
  • Bend, OR
  • NPI 1730987736
  NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1770527830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NE NORTON AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014386",
            "telephone_number": "541-797-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Louise Harris, DMD
• Holly McCown Harris, LPC
• Jay Edward Harris, RN, MSN
• Jenifer Harris
• Joshua James Harris
• Michael N Harris, M.D.
• Micheal Harris, MA
• Steve Harris, LPC, CADCIII
• Suzanne Harris, L.M.T
• Eric Harry, MD

• All providers in Bend, OR
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.