DR. AARON A HARRIS (PHD) – Clinical Psychologist, NPI 1669480091

DR. AARON A HARRIS (PHD) is a healthcare provider. based in Idaho falls, Idaho. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2171 (KS). The NPI Number for DR. AARON A HARRIS (PHD) is 1669480091

Main info

Male
Sole Proprietor
22 Years Of Experience
Name
DR. AARON A HARRIS (PHD)
NPI
1669480091
Phone
(208) 522-3404
Address
3670 S 25TH E STE 2
Enumeration Date
3 August 2006
Last Update Date
17 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2089914296102
Graduation Year
2004 (22 years ago)
PAC ID
3072751593
Group Practice PAC ID
1254552581
Professional Enrollment ID
I20181129001929
Address ID
ID837036913BO3649XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

120 CLINICAL PSYCHOLOGIST in ID

Provider Addresses for DR. AARON A HARRIS (PHD)

  • 3670 S 25TH E STE 2

    IDAHO FALLS, ID 834044956

    Phone: (208) 522-3404

    Fax: (208) 524-1093

    Type: Location

  • 3522 BRIAR CREEK LN

    AMMON, ID 834064728

    Phone: (208) 529-1680

    Fax: (208) 529-1699

    Type: Location

  • 5272 LONG COVE DR

    IDAHO FALLS, ID 834048288

    Phone: (208) 419-9238

    Fax: (208) 598-7998

    Type: Mailing

  • 1301 E 17TH ST

    IDAHO FALLS, ID 834046273

    Phone: (406) 848-4906

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181129001929IClinical PsychologistIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254552581View full group profile
NameSpecialtyState
Physician AssistantID
Clinical Social WorkerID
Clinical Social WorkerID
Mental Health CounselorID

Reviews

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Frequently asked questions

Where can patients find DR. AARON A HARRIS (PHD)'s NPI?
You can confirm DR. AARON A HARRIS (PHD) with NPI 1669480091; it appears in the national provider directory.
Is DR. AARON A HARRIS (PHD) active in the national directory?
DR. AARON A HARRIS (PHD)'s public NPI profile is in an active state.
What kind of provider is DR. AARON A HARRIS (PHD)?
The page reflects Clinical Psychologist for DR. AARON A HARRIS (PHD). Clinical services aligned with this taxonomy classification.
What location shows for DR. AARON A HARRIS (PHD)?
We surface Idaho Falls, Idaho for DR. AARON A HARRIS (PHD) based on available NPPES addresses.
How can I contact DR. AARON A HARRIS (PHD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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