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Raven Harris

NPI 1053816058ActiveIndividual· Psychologist· Manassas, VA

Psychologist in Manassas, Virginia, licensed in VA, with an NPI issued in March 2018.

Overview

NPI1053816058
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 29, 2018
Last updated in NPPESFeb 17, 2026
Certified by providerFeb 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X0810009273VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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