BENNETT HARRIS DO NPI 1033596176

NPI Information

NPI: 1033596176
Provider Name: BENNETT HARRIS, DO
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
3365 S 103RD ST STE 210
MILWAUKEE, WI
ZIP 53227
Phone: (414) 228-4800
Get Directions

Bennett Harris, DO is a child and adolescent psychiatry psychiatry neurology in Milwaukee, WI with 9 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Bennett Harris, DO NPI is 1033596176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3365 S 103RD ST STE 210
MILWAUKEE, WI
ZIP 53227-161
Phone: (414) 228-4800
Fax: (262) 432-9004

The NPI 1033596176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 11/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	74225	WISCONSIN	Yes
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	34.014710	OHIO	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	036.154123	ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1033596176	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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