Active NPI
Keith Lloyd Harris, MD
- Psychiatry Physician
- Huntington, NY
National Provider Identifier
1912043845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 174455
- Practice address
- 755 New York Ave
Suite 435
Huntington, NY 11743-4240 - Phone
- (631) 423-5534
- Fax
- (631) 271-5361
- NPI assigned
- Jan 29, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 174455 | NY | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 174455 | NY |
Addresses
Primary practice location
755 New York Ave
Suite 435
Huntington, NY 11743-4240
Mailing address
755 New York Ave
Suite 435
Huntington, NY 11743
Phone (631) 423-5534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 6, 2018 through Mar 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174455 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1912043845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 NEW YORK AVE",
"address_2": "SUITE 435",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-423-5534",
"fax_number": "631-271-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 NEW YORK AVE",
"address_2": "SUITE 435",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434240",
"telephone_number": "631-423-5534",
"fax_number": "631-271-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KEITH",
"middle_name": "LLOYD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "174455",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "174455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.