Jennifer Michelle Harris, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009257 Issued in IL

Practice address

2000 N Racine Ave Ste 2190
Chicago, IL 60614-7007

Phone

(847) 414-5656

NPI assigned

Mar 9, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Jennifer Harris PSYD, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1134684939
  NPD Authorized official
• Mainsail Therapeutics LLC

  • Behavior Analyst
  • Chicago, IL
  • NPI 1104464916
  NPD (past)

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1881055499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LATROBE AVE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933519",
            "telephone_number": "847-414-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N RACINE AVE STE 2190",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147007",
            "telephone_number": "847-414-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Henry Harris Jr., DDS
• James Russell Harris II, PSY.D.
• Jamie Rae Harris, LCPC
• Jasmine L Harris, MHS, CADC
• Jennifer Irene Harris, MD
• Jerome Harris Sr.
• Jesse Mark Harris
• John P Harris, LCSW
• Julie Anne Harris
• Kallyn Harris, OTR/L, CSRS

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.