DR. RANDALL JAY HARRIS (PSY.D.) – Clinical Psychologist, NPI 1659548725

DR. RANDALL JAY HARRIS (PSY.D.) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PS017283 (PA). The NPI Number for DR. RANDALL JAY HARRIS (PSY.D.) is 1659548725

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDALL JAY HARRIS (PSY.D.)
NPI
1659548725
Phone
(814) 535-8586
Address
1765 GOUCHER ST
Enumeration Date
8 May 2008
Last Update Date
22 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7242820332
Graduation Year
2007 (19 years ago)
PAC ID
6608028113
Group Practice PAC ID
8224474606
Professional Enrollment ID
I20121210000031
Address ID
PA160014928BU349XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

Provider Addresses for DR. RANDALL JAY HARRIS (PSY.D.)

  • 1765 GOUCHER ST

    JOHNSTOWN, PA 159051101

    Phone: (814) 535-8586

    Type: Location

  • 349, North McKean Street, Butler, Butler County, Pennsylvania, 16001, United States

    BUTLER, PA 160014928

    Phone: (814) 535-8586

    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: 2012-12-10

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
I20121210000031IClinical PsychologistPATBD

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 hour18712$0
View full utilization report →

Insurance plans in this area (ZIP 15905)

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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: 8224474606View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Can I cross-check DR. RANDALL JAY HARRIS (PSY.D.) using NPI 1659548725?
NPI 1659548725 belongs to DR. RANDALL JAY HARRIS (PSY.D.); compare other details if you need extra assurance.
Would DR. RANDALL JAY HARRIS (PSY.D.) appear as active to a payer?
You can treat DR. RANDALL JAY HARRIS (PSY.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. RANDALL JAY HARRIS (PSY.D.)?
DR. RANDALL JAY HARRIS (PSY.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is DR. RANDALL JAY HARRIS (PSY.D.) registered?
Use Johnstown, Pennsylvania as the headline location for DR. RANDALL JAY HARRIS (PSY.D.) here.
When was this NPI issued?
Enumeration for DR. RANDALL JAY HARRIS (PSY.D.) is noted as May 8, 2008 where the registry provides it.

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