Individual provider Active NPI

Cynthia Pollans Harris, PH.D.

  • Psychologist
  • Plantation, FL
National Provider Identifier
1790834000
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0003936 Issued in FL
Practice address
8030 Peters Rd
Suite D106
Plantation, FL 33324-4038
Phone
(954) 475-9503
Fax
(954) 476-2369
NPI assigned
Jan 9, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0003936 FL Primary

Addresses

Primary practice location

8030 Peters Rd
Suite D106
Plantation, FL 33324-4038

Mailing address

8030 Peters Rd
Suite D106
Plantation, FL 33324-4038
Phone (954) 475-9503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000380 FL Practitioner - Clinical Psychologist 9931368479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cynthia Pollans Harris, PH.D.,P.aGroup PAC ID 0941469480, 3 clinicians
Hiaah PCGroup PAC ID 9234589763, 10 clinicians

Practice addresses (Care Compare)

8030 Peters Rd
Plantation, FL 33324-4038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0003936FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Pollans Harris, PH.D.,P.a CurrentSince Dec 2, 1987 Accepting new patients
Hiaah PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

828 Federal Rd
Ste B
Brookfield, CT 06804
Phone (800) 237-0397

8030 Peters Rd
Ste D106
Plantation, FL 33324
Phone (954) 475-9503

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790834000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUITE D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 PETERS RD",
            "address_2": "SUITE D106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244038",
            "telephone_number": "954-475-9503",
            "fax_number": "954-476-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CYNTHIA",
        "middle_name": "POLLANS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0003936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.