Amanda Viola Harris, PSY.D.
NPI 1710598982ActiveIndividual· Psychologist· Mequon, WI
Psychologist (PSY.D.) in Mequon, Wisconsin, licensed in WI and PA, with an NPI issued in August 2020. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1710598982 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Aug 12, 2020 |
| Last updated in NPPES | Apr 1, 2024 |
| Certified by provider | Apr 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3897-57 | WI |
| Psychologist | 103T00000X | PS020083 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (PA); Practitioner - Clinical Psychologist (WI) |
|---|
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All 26 psychologists in Mequon · All psychologists in Wisconsin