Active NPI
Katherine Harris, PHD
- Clinical Psychologist
- North Aurora, IL
National Provider Identifier
1982038071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008711
- Practice address
- 66 Miller Dr
Ste 105
North Aurora, IL 60542-5144 - Phone
- (630) 570-0050
- Fax
- (630) 570-0045
- NPI assigned
- Aug 26, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008711 | IL | Primary |
Addresses
Primary practice location
66 Miller Dr
Ste 105
North Aurora, IL 60542-5144
Mailing address
66 Miller Dr
Ste 105
North Aurora, IL 60542-5144
Phone (630) 570-0050
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071008711 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Birds Mental Health Services PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sycamore, IL
- NPI 1144141870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1982038071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MILLER DR",
"address_2": "STE 105",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605425144",
"telephone_number": "630-570-0050",
"fax_number": "630-570-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 MILLER DR",
"address_2": "STE 105",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605425144",
"telephone_number": "630-570-0050",
"fax_number": "630-570-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KATHERINE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.