DR. SHELBY FREEDMAN HARRIS PSY.D.
NPI 1912191008
Psychologist - Clinical in Bronx, NY

Active since August 31, 2007Opted out of Medicare · through Jan 1, 2027
111 E 210TH ST, DEPARTMENT OF NEUROLOGY - SLEEP-WAKE DISORDERS CENTER, BRONX, NY 10467(718) 920-4841(718) 798-4352 Get Directions Write a Review

NPPES record last updated: August 31, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Shelby Freedman Harris Psy.d. NPPES

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

DR. SHELBY FREEDMAN HARRIS PSY.D. (NPI 1912191008) is an individual clinical provider in Bronx, New York, licensed in New York (017288) and active in the NPI registry since August 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912191008
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHELBY FREEDMAN HARRISCredential: PSY.D.
Location Address111 E 210TH ST, DEPARTMENT OF NEUROLOGY - SLEEP-WAKE DISORDERS CENTERBronx, NY 10467-2401
Mailing Address30 Carrollwood DrTarrytown, NY 10591-5209 · (914) 631-4562
Fax(718) 798-4352
Sole ProprietorYes
Enumeration DateAugust 31, 2007
NPI 1912191008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 017288
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 ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 017288 (NY)
111 E 210TH ST, Bronx, NY 10467

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. Shelby Freedman Harris Psy.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 January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 Shelby Harris's NPI number?

The NPI number for Shelby Harris is 1912191008. It was assigned to this individual provider in the NPPES registry on August 31, 2007.

Where is Shelby Harris located?

Shelby Harris practices at 111 E 210th St Department Of Neurology - Sleep-Wake Disorders Center, Bronx, NY 10467. The listed phone number is (718) 920-4841.

What is Shelby Harris's specialty?

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

Is Shelby Harris enrolled in Medicare?

No. Shelby Harris has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shelby Harris was last updated on August 31, 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.