NICOLE HARRIS PSY.D.
NPI 1508608456
Psychologist in Los Angeles, CA

Active since June 11, 2024PECOS Enrolled
3401 GLENDALE BLVD STE B, LOS ANGELES, CA 90039(310) 318-4218 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Jun 11, 2024 (2 updates tracked since 2024).

About Nicole Harris Psy.d. NPPES

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

NICOLE HARRIS PSY.D. (NPI 1508608456) is an individual psychologist in Los Angeles, California, licensed in California (PSY36720) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1508608456
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNICOLE HARRISCredential: PSY.D.
Location Address3401 GLENDALE BLVD STE BLos Angeles, CA 90039-1814
Mailing Address10882 Rose Ave Apt 204Los Angeles, CA 90034-5352 · (310) 318-4218
Sole ProprietorYes
Enumeration DateJune 11, 2024
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1508608456 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 CA · PSY36720
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.
3401 GLENDALE BLVD STE B, Los Angeles, CA 90039

Secondary Practice Location 1

Location 110801 National Blvd Ste 256Los Angeles, CA 90064-4178 · Phone (424) 245-5744

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole 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.

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
3401 GLENDALE BLVD STE B
LOS ANGELES, CA 90039
Marriage & Family Therapist
3401 GLENDALE BLVD STE B
LOS ANGELES, CA 90039

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 Nicole Harris's NPI number?

The NPI number for Nicole Harris is 1508608456. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Nicole Harris located?

Nicole Harris practices at 3401 Glendale Blvd Ste B, Los Angeles, CA 90039. The listed phone number is (310) 318-4218.

What is Nicole Harris's specialty?

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

Is Nicole Harris enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Harris was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.