DR. EDWIN STANLEY HARRIS PH.D.
NPI 1023306180
Psychologist in Saint Louis, MO

Active since July 11, 2011Opted out of Medicare · through Oct 1, 2026
4231 LACLEDE AVE, SAINT LOUIS, MO 63108(314) 652-3888(314) 289-9983 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwin Stanley Harris Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN STANLEY HARRIS PH.D. (NPI 1023306180) is an individual psychologist in Saint Louis, Missouri, licensed in Missouri (181) and active in the NPI registry since July 2011. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023306180
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. EDWIN STANLEY HARRISCredential: PH.D.
Location Address4231 LACLEDE AVESaint Louis, MO 63108-2814
Mailing Address4231 Laclede AveSaint Louis, MO 63108-2814 · (314) 652-3888 · Fax (314) 289-9983
Fax(314) 289-9983
Sole ProprietorYes
Enumeration DateJuly 11, 2011
NPI 1023306180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 181
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4231 LACLEDE AVE, Saint Louis, MO 63108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Edwin Stanley Harris Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4231 LACLEDE AVE
SAINT LOUIS, MO 63108
Counselor (Mental Health)
4231 LACLEDE AVE
SAINT LOUIS, MO 63108
Counselor
4231 LACLEDE AVE
SAINT LOUIS, MO 63108
Psychiatry & Neurology (Psychiatry)
4231 LACLEDE AVE
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4231 LACLEDE AVE
SAINT LOUIS, MO 63108
Counselor (Professional)
4231 LACLEDE AVE
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4231 LACLEDE AVE
SAINT LOUIS, MO 63108
Counselor (Professional)
4231 LACLEDE AVE
SAINT LOUIS, MO 63108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Harris's NPI number?

The NPI number for Edwin Harris is 1023306180. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Edwin Harris located?

Edwin Harris practices at 4231 Laclede Ave, Saint Louis, MO 63108. The listed phone number is (314) 652-3888.

What is Edwin Harris's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Edwin Harris enrolled in Medicare?

No. Edwin Harris has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edwin Harris was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.