DR. GORDON A HARRIS (PHD) – Psychologist, NPI 1942260633

DR. GORDON A HARRIS (PHD) is a healthcare provider. based in Dayton, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2051 (OH). The NPI Number for DR. GORDON A HARRIS (PHD) is 1942260633

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. GORDON A HARRIS (PHD)
NPI
1942260633
Phone
(937) 274-2226
Address
5400 N MAIN ST
Enumeration Date
25 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372742226
Graduation Year
1974 (52 years ago)
PAC ID
3971664772
Professional Enrollment ID
I20081212000000
Address ID
OH454153453DA5400XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. GORDON A HARRIS (PHD)

  • John Wayland Highway, Dayton, Rockingham County, Virginia, United States

    DAYTON, OH 454153453

    Phone: (937) 274-2226

    Fax: (937) 274-2074

    Mailing address matches the actual address.

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: 2008-12-12

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
I20081212000000IClinical PsychologistOHTBD

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 45415)

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Reviews

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Frequently asked questions

What number should I use to identify DR. GORDON A HARRIS (PHD) for billing?
Administrative and clinical systems typically use NPI 1942260633 for DR. GORDON A HARRIS (PHD).
Is DR. GORDON A HARRIS (PHD)'s NPI status active today?
Active status means DR. GORDON A HARRIS (PHD)'s NPI record is not deactivated in the public file.
What services align with DR. GORDON A HARRIS (PHD)'s listing?
DR. GORDON A HARRIS (PHD)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GORDON A HARRIS (PHD)?
DR. GORDON A HARRIS (PHD) shows a connection to Dayton, Ohio in registry-derived data.
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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