DR. MITCHELL WAYNE HARRIS PHD
NPI 1053619585
Psychologist in Salt Lake City, UT

Active since March 08, 2011PECOS Enrolled
5965 S 900 E, SALT LAKE CITY, UT 84121(888) 949-4864 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2018, Jul 10, 2017 (2 updates tracked since 2017).

About Dr. Mitchell Wayne Harris Phd NPPES

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

DR. MITCHELL WAYNE HARRIS PHD (NPI 1053619585) is an individual psychologist in Salt Lake City, Utah, licensed in Utah (9187581-2501) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053619585
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MITCHELL WAYNE HARRISCredential: PHD
Location Address5965 S 900 ESalt Lake City, UT 84121-1720
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639
Sole ProprietorNo
Enumeration DateMarch 8, 2011
Last NPPES UpdateDecember 13, 20182 updates tracked since enumeration
NPI 1053619585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in UT · 9187581-2501
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.
Also ListedCounselorTaxonomy 101Y00000X
5965 S 900 E, Salt Lake City, UT 84121

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mitchell Wayne Harris Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Community Health Worker
5965 S 900 E
SALT LAKE CITY, UT 84121
Counselor
5965 S 900 E
SALT LAKE CITY, UT 84121
Counselor
5965 S 900 E
SALT LAKE CITY, UT 84121
Licensed Practical Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Registered Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Counselor
5965 S 900 E
MURRAY, UT 84121
Counselor
5965 S 900 E
MURRAY, UT 84121

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 Mitchell Harris's NPI number?

The NPI number for Mitchell Harris is 1053619585. It was assigned to this individual provider in the NPPES registry on March 8, 2011.

Where is Mitchell Harris located?

Mitchell Harris practices at 5965 S 900 E, Salt Lake City, UT 84121. The listed phone number is (888) 949-4864.

What is Mitchell Harris's specialty?

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

Is Mitchell Harris enrolled in Medicare?

Yes. Mitchell Harris is registered in the Medicare PECOS enrollment system.

What insurance does Mitchell Harris accept?

Health plans from Select Health list Mitchell Harris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Harris was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.