Gina M Harris PHD PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

GINA M HARRIS PHD PA

Practice address

1035 S State Road 7 Ste 315-19
Wellington, FL 33414-6134

Phone

(561) 791-3239

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gina M. Harris, PH.D.NPI 1821215666

Title

President

Phone

(305) 439-4893

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Melanie Harris, PH.D.

  • Clinical Neuropsychologist
  • Aventura, FL
  • NPI 1821215666
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1790965291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 OUACHITA DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675541",
            "telephone_number": "561-965-2623",
            "fax_number": "561-963-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7 STE 315-19",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146134",
            "telephone_number": "561-791-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA M HARRIS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-439-4893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Gibbs
• Gifted Hands Healthcare Services LLC
• Mark Anthony Gigliobianco, D.O.
• Stephanie Ann Gilliam
• Alice Anne Gilsinan, LMFT
• Kristen Marie Gioletti
• Claudia Maria Giovanelli Porrata, MD, MPH
• Michael Girgis, MD
• Alicia Eve Gittleman, M.D.
• Lesley Nichole Glover, MD

• Clinical Neuropsychologist in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.