Paul Vivian Harris, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006095 Issued in IL

Practice address

155 N Michigan Ave Ste 734
Chicago, IL 60601-7712

Phone

(312) 729-5044

Fax

(312) 729-5099

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paul V. Harris, PSYD, P.C.Group PAC ID 3678969409, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Paul V. Harris, PSYD, P.C.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1427295260

  TN

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1770630717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 N MOHAWK ST",
            "address_2": "UNIT #A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145219",
            "telephone_number": "312-263-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 734",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017712",
            "telephone_number": "312-729-5044",
            "fax_number": "312-729-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAUL",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001633868",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michel D Harris, R.D., LDN, CDE
• Mitchell M Harris, L.AC, DIPL OM
• Najila Tanisha Harris, LPC
• Natalie Harris
• Nina Marie Harris
• Quinn Erica Harris
• Raeanna Harris, MSW
• Richard G. Harris, M.D.
• Richard P. Harris, M.D.
• Rodney Harris

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.