Active NPI
Kwanda Nicole Harris, PSYD
- Psychologist
- Lewes, DE
National Provider Identifier
1821862129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- B2-0000331
- Practice address
- 16287 Willow Creek Rd
Lewes, DE 19958-3614 - Phone
- (302) 703-6332
- Fax
- (302) 827-4856
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | B2-0000331 | DE | Primary |
Addresses
Primary practice location
16287 Willow Creek Rd
Lewes, DE 19958-3614
Mailing address
354 Matthew Flocco Dr
Newark, DE 19713-2350
Phone (267) 471-5958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B2-0000331 | DE | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1821862129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MATTHEW FLOCCO DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132350",
"telephone_number": "267-471-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16287 WILLOW CREEK RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199583614",
"telephone_number": "302-703-6332",
"fax_number": "302-827-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KWANDA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DE",
"license": "B2-0000331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.