JOHN EWING HARRIS (PHD) – Psychologist, NPI 1558359828

JOHN EWING HARRIS (PHD) is a healthcare provider. based in Springfield, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071005273 (IL). The NPI Number for JOHN EWING HARRIS (PHD) is 1558359828

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
JOHN EWING HARRIS (PHD)
NPI
1558359828
Phone
(217) 544-3143
Address
1020 S 5TH ST
Enumeration Date
11 October 2005
Last Update Date
14 February 2021

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2175463118
Graduation Year
1975 (51 years ago)
PAC ID
1052481611
Group Practice PAC ID
5193722452
Professional Enrollment ID
I20080609000496
Address ID
IL627046440SP2921XDRXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for JOHN EWING HARRIS (PHD)

  • South 5th Street, Hawthorne Place, Springfield, Sangamon County, Illinois, 62701, United States

    SPRINGFIELD, IL 627032312

    Phone: (217) 544-3143

    Fax: (217) 544-4436

    Type: Mailing

  • 2921 GREENBRIAR DR STE B1

    SPRINGFIELD, IL 627046440

    Phone: (217) 546-3118

    Fax: (217) 546-3184

    Type: Mailing

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: 2008-06-09

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
I20080609000496IClinical PsychologistILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour27724$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 62703)

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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: 5193722452View full group profile
NameSpecialtyState
Clinical PsychologistIL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How is JOHN EWING HARRIS (PHD) identified in CMS data?
CMS-hosted NPPES data lists JOHN EWING HARRIS (PHD) with NPI 1558359828.
Does CMS list JOHN EWING HARRIS (PHD) as active?
Yes — JOHN EWING HARRIS (PHD) is active in the NPI listing used on this page.
What is JOHN EWING HARRIS (PHD) best known for clinically?
Directory data describes JOHN EWING HARRIS (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN EWING HARRIS (PHD)?
JOHN EWING HARRIS (PHD)'s geographic hint is Springfield, Illinois in our summary view.
Is the information about JOHN EWING HARRIS (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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