DR. SCOTT OWEN HARRIS PH.D.
NPI 1427209949
Psychologist - Clinical in Los Angeles, CA

Q: What is Scott Harris's NPI number?

The NPI number for Scott Harris is 1427209949. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Q: What is Scott Harris's specialty?

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

Q: Is Scott Harris enrolled in Medicare?

No. Scott Harris has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Scott Harris was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 02, 2008Opted out of Medicare · through Apr 25, 2028

11980 SAN VICENTE BLVD., SUITE 710, LOS ANGELES, CA 90049(310) 422-7468(310) 476-4160 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Scott Owen Harris Ph.d. NPPES

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

DR. SCOTT OWEN HARRIS PH.D. (NPI 1427209949) is an individual clinical provider in Los Angeles, California, licensed in California (PSY8805) and active in the NPI registry since October 2008. He has opted out of Medicare through April 25, 2028.

NPPES Registry Identity

NPI1427209949

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SCOTT OWEN HARRISCredential: PH.D.

Location Address11980 SAN VICENTE BLVD., SUITE 710Los Angeles, CA 90049

Mailing Address11980 San Vicente Blvd., Suite 710Los Angeles, CA 90049 · (310) 422-7468 · Fax (310) 476-4160

Phone(310) 422-7468

Fax(310) 476-4160

Sole ProprietorYes

Enumeration DateOctober 2, 2008

Last NPPES UpdateApril 27, 2021

NPPES CertifiedApril 27, 2021

✔ NPI 1427209949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY8805

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.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

11980 SAN VICENTE BLVD., Los Angeles, CA 90049

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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. Scott Owen 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 April 25, 2024 through April 25, 2028.

Opt-Out Effective DateApril 25, 2024

Opt-Out In Effect ThroughApril 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DR. STANLEY MITSUO MIYAWAKI D.M.D., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

11980 SAN VICENTE BLVD., SUITE 602
LOS ANGELES, CA 90049

Los Angeles County (310) 826-6694

DR. FRANK M TAN M.D.

Psychiatry & Neurology (Addiction Psychiatry)

11980 SAN VICENTE BLVD., SUITE 612
LOS ANGELES, CA 90049

Los Angeles County (310) 826-3180

DR. MARIE MARGUERITE COHEN PH.D.

Psychologist (Clinical)

11980 SAN VICENTE BLVD., SUITE 610
LOS ANGELES, CA 90049

Los Angeles County (310) 979-7845

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 Scott Harris's NPI number?

The NPI number for Scott Harris is 1427209949. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Scott Harris located?

Scott Harris practices at 11980 San Vicente Blvd. Suite 710, Los Angeles, CA 90049. The listed phone number is (310) 422-7468.

What is Scott Harris's specialty?

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

Is Scott Harris enrolled in Medicare?

No. Scott Harris has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Scott Harris was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.