KAMILLE MONIQUE HARRIS PSYD
NPI 1831057041
Psychologist - Clinical in Smyrna, GA

Active since January 14, 2026PECOS Enrolled
400 TECHNOLOGY CT SE STE J, SMYRNA, GA 30082(770) 431-2354(770) 436-7143 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2026, Mar 13, 2026, Jan 14, 2026 (3 updates tracked since 2026).

About Kamille Monique Harris Psyd NPPES

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

KAMILLE MONIQUE HARRIS PSYD (NPI 1831057041) is an individual clinical provider in Smyrna, Georgia, licensed in Georgia (PSY004811) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831057041
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKAMILLE MONIQUE HARRISCredential: PSYD
Location Address400 TECHNOLOGY CT SE STE JSmyrna, GA 30082-5237
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Fax(770) 436-7143
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 14, 2026
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1831057041 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 GA · PSY004811
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.

400 TECHNOLOGY CT SE STE J, Smyrna, GA 30082

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kamille Monique Harris Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284103367
PECOS Enrollment IDI20260519000076
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30082 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Psychiatric/Mental Health)
400 TECHNOLOGY CT SE STE J
SMYRNA, GA 30082
Family Medicine (Addiction Medicine)
400 TECHNOLOGY CT SE STE J
SMYRNA, GA 30082
Pharmacy (Long Term Care Pharmacy)
400 TECHNOLOGY CT SE STE J, ROOM P
SMYRNA, GA 30082
Counselor (Professional)
400 TECHNOLOGY CT SE STE J
SMYRNA, GA 30082
Nurse Practitioner (Psychiatric/Mental Health)
400 TECHNOLOGY CT SE STE J
SMYRNA, GA 30082
Marriage & Family Therapist
400 TECHNOLOGY CT SE STE J
SMYRNA, GA 30082
Counselor (Professional)
400 TECHNOLOGY CT SE STE J
SMYRNA, GA 30082
Counselor (Professional)
400 TECHNOLOGY CT SE STE J
SMYRNA, GA 30082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831057041, enumerated as an "individual" on January 14, 2026.

The provider is located at 400 TECHNOLOGY CT SE STE J SMYRNA, GA 30082 and the phone number is (770) 431-2354.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.