GINA M HARRIS PHD PA
NPI 1790965291
Clinical Neuropsychologist in Wellington, FL
About Gina M Harris Phd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA M HARRIS PHD PA (NPI 1790965291) is a healthcare organization registered as a clinical neuropsychologist in Wellington, Florida and active in the NPI registry since November 2007. The organization lists Gina M. Harris, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gina M Harris Phd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gina M Harris Phd PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Aventura, FL 33180
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gina M Harris Phd PA's NPI number?
The NPI number for Gina M Harris Phd PA is 1790965291. It was assigned to this organization in the NPPES registry on November 13, 2007.
Where is Gina M Harris Phd PA located?
Gina M Harris Phd PA is located at 1035 S State Road 7 Ste 315-19, Wellington, FL 33414. The listed phone number is (561) 791-3239.
What is Gina M Harris Phd PA's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Gina M Harris Phd PA enrolled in Medicare?
Yes. Gina M Harris Phd PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gina M Harris Phd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Gina M Harris Phd PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gina M Harris Phd PA was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Gina M Harris Phd Pa · NPI 1790965291
Clinical Neuropsychologist organization in Wellington, Florida. Organization record, active in the CMS NPPES registry since November 13, 2007.
## Identity
- **NPI:** 1790965291 (Entity type: Organization)
- **Enumerated:** November 13, 2007
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Gina Harris, PRESIDENT
## Practice location
- **Address:** 1035 S STATE ROAD 7 STE 315-19, Wellington, FL 33414-6134
- **Phone:** (561) 791-3239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2007
- **Other identifiers:** Medicare PIN 75924 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1790965291) · Data from the CMS NPPES public registry.