DR. AMELIA R HARRIS (PSY D) – Clinical Psychologist, NPI 1881782779
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
449 CLINICAL PSYCHOLOGIST in MO
Provider Addresses for DR. AMELIA R HARRIS (PSY D)
200, Northeast Missouri Road, Lee's Summit, Jackson County, Missouri, 64086, United States
LEES SUMMIT, MO 640864722
Phone: (816) 763-1559
Type: Mailing
2790 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY, MO 641163274
Phone: (816) 691-5048
Fax: (816) 346-7039
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2009-03-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090327000243 | I | Clinical Psychologist | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 35 | 35 | $0 |
| 96130 | Evaluation of psychological test, first hour | 35 | 35 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 64086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | MO | |
| - | MO | |
| - | MO | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | DE | |
| General Surgery | MO | |
| N E U R O L O G Y | MO | |
| A N E S T H E S I O L O G Y | MO |
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