Stephanie Joy Harris, PSY.D., CHTP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28876 Issued in CA

Practice address

2535 Camino del Rio S Ste 230
San Diego, CA 92108-3795

Phone

(305) 632-8706

NPI assigned

May 30, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephanie J. Harris, PA

  • Psychologist
  • Boca Raton, FL
  • NPI 1396924775

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780885426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FRONT ST APT 243",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016734",
            "telephone_number": "305-632-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083795",
            "telephone_number": "305-632-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PSY.D., CHTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6881",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Harris
• Samantha Reed Harris, M.D.
• Scott Keith Harris, PSY.D
• Sebrena Angela Harris, R.N.
• Sharice Harris, LVN
• Summer Harris
• Sydney Joan Marcroft Harris
• Taiko Harris, FNP
• Tamu Nyamava Harris, LCSW
• Taylor Harris

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.