MR. GENE DAVID HARRIS (PHD) – Psychologist, NPI 1639220627

MR. GENE DAVID HARRIS (PHD) is a healthcare provider. based in East lansing, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301007654 (MI). The NPI Number for MR. GENE DAVID HARRIS (PHD) is 1639220627

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. GENE DAVID HARRIS (PHD)
NPI
1639220627
Phone
(517) 337-6545
Address
234 MICHIGAN AVE
Enumeration Date
16 January 2007
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173376545
Graduation Year
1992 (34 years ago)
PAC ID
9537322920
Group Practice PAC ID
8426048323
Professional Enrollment ID
I20120522001283
Address ID
MI488238528EA612XXRDXX504
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for MR. GENE DAVID HARRIS (PHD)

  • 234, Michigan Avenue, East Lansing, Ingham County, Michigan, 48823, United States

    EAST LANSING, MI 488234215

    Phone: (517) 337-6545

    Fax: (517) 337-3010

    Type: Location

  • 112, South Jenison Avenue, Westside, Lansing, Ingham County, Michigan, 48915, United States

    LANSING, MI 489151756

    Phone: (517) 316-7777

    Fax: (517) 337-3010

    Type: Mailing

  • 2001 ABBOT RD

    EAST LANSING, MI 488231400

    Phone: (517) 337-6545

    Fax: (517) 337-3010

    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: 2012-05-22

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
I20120522001283IClinical PsychologistMITBD

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 48823)

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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: 8426048323View full group profile

Reviews

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Frequently asked questions

What identifier follows MR. GENE DAVID HARRIS (PHD) across health systems?
The NPI 1639220627 uniquely identifies MR. GENE DAVID HARRIS (PHD) in U.S. healthcare data.
Does the public listing show MR. GENE DAVID HARRIS (PHD) as active?
MR. GENE DAVID HARRIS (PHD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. GENE DAVID HARRIS (PHD)?
NPPES ties MR. GENE DAVID HARRIS (PHD) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. GENE DAVID HARRIS (PHD) tied to East Lansing, Michigan?
If you are local to East Lansing, Michigan, MR. GENE DAVID HARRIS (PHD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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