Gina Melanie Harris, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY0003194 Issued in FL

Practice address

19195 Mystic Pointe Dr Apt 1701 BLDG 100
Aventura, FL 33180-4507

Phone

(954) 966-4447

Fax

(305) 936-0005

NPI assigned

Apr 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network

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.

• Gina M Harris PHD PA

  • Clinical Neuropsychologist
  • Wellington, FL
  • NPI 1790965291
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821215666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19195 MYSTIC POINTE DR APT 1701 BLDG 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804507",
            "telephone_number": "954-966-4447",
            "fax_number": "305-936-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19195 MYSTIC POINTE DR APT 1701 BLDG 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804507",
            "telephone_number": "954-966-4447",
            "fax_number": "305-936-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GINA",
        "middle_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0003194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher N Hanner, MD
• Adela Haratz, DDS
• Antonia Jane Harris, MD
• Emily Harris, MD
• Emily Harris
• Jezwah E Harris, FNP-BC, MEP-C, NE-BC
• Steven Handel Harsaran, DO
• Vicki Hatch, MS RDN, LDN, CDE
• Esther Fayge Hauck, MFT
• Hanny Hausmann

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.