DR. PATRICIA LYNN HARRIS PSY,D.
NPI 1265612477
Psychologist - Clinical in Portland, OR

Q: What is Patricia Harris's NPI number?

The NPI number for Patricia Harris is 1265612477. It was assigned to this individual provider in the NPPES registry on November 6, 2007. The provider is also known as Patricia Lynn Harris Psy.D..

Q: What is Patricia Harris's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Harris was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 06, 2007PECOS Enrolled

12636 SE STARK ST., PLAZA 125, BUILDING J, PORTLAND, OR 97233(503) 253-4600(503) 233-4609 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2021, May 11, 2018 (2 updates tracked since 2018).

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About Dr. Patricia Lynn Harris Psy,d. NPPES

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

DR. PATRICIA LYNN HARRIS PSY,D. (NPI 1265612477) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1731) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265612477

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PATRICIA LYNN HARRISCredential: PSY,D.

Location Address12636 SE STARK ST., PLAZA 125, BUILDING JPortland, OR 97233

Mailing Address12607 Se Mill Plain BlvdVancouver, WA 98684-6055 · (855) 632-8280

Phone(503) 253-4600

Fax(503) 233-4609

Sole ProprietorNo

Enumeration DateNovember 6, 2007

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1265612477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1731

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

12636 SE STARK ST., PLAZA 125, BUILDING J, Portland, OR 97233

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Other Names 1

Former Name (1)Patricia Lynn Harris Psy.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patricia Lynn Harris Psy,d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Patricia Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest

4.9 mi

General Practice

3060 SE HAWTHORNE BLVD
Portland, OR 97214

Reassigned Medicare billing, Oregon and Washington enrollments
Also billed through NPI 1871848457 (Washington)
3,207 clinicians in this Medicare group

NPI 1063990695 (800) 813-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Patricia Harris's NPI number?

The NPI number for Patricia Harris is 1265612477. It was assigned to this individual provider in the NPPES registry on November 6, 2007. The provider is also known as Patricia Lynn Harris Psy.D..

Where is Patricia Harris located?

Patricia Harris practices at 12636 SE Stark St., Plaza 125, Building J, Portland, OR 97233. The listed phone number is (503) 253-4600.

What is Patricia Harris's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Patricia Harris enrolled in Medicare?

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

Which organization bills Medicare for Patricia Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Harris reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Harris accept?

Health plans from Kaiser Permanente list Patricia 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 Patricia Harris was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.