Active NPI
Alexandra Marvin Harris, PHD
- Counseling Psychologist
- Delray Beach, FL
National Provider Identifier
1992760839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY4798
- Practice address
- 2040 Alta Meadows LN
Suite 1612
Delray Beach, FL 33444-1171 - Phone
- (561) 276-1998
- Fax
- (561) 276-1998
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY4798 | FL | Primary |
Addresses
Primary practice location
2040 Alta Meadows LN
Suite 1612
Delray Beach, FL 33444-1171
Mailing address
2040 Alta Meadows LN
Suite 1612
Delray Beach, FL 33444-1171
Phone (561) 276-1998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211232900 | Medicaid | FL |
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 |
|---|---|---|---|
| PY4798 | FL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1992760839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 ALTA MEADOWS LN",
"address_2": "SUITE 1612",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334441171",
"telephone_number": "561-276-1998",
"fax_number": "561-276-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 ALTA MEADOWS LN",
"address_2": "SUITE 1612",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334441171",
"telephone_number": "561-276-1998",
"fax_number": "561-276-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ALEXANDRA",
"middle_name": "MARVIN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY4798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211232900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.