Healthcare Provider Details

I. General information

NPI: 1801195334
Provider Name (Legal Business Name): JAMILA HELEN HARRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 CAMBRIDGE ST CHA - PSYCHIATRY - CAMBRIDGE CAMPUS
CAMBRIDGE MA
02139-1047
US

IV. Provider business mailing address

1493 CAMBRIDGE ST CHA - PSYCHIATRY - CAMBRIDGE CAMPUS
CAMBRIDGE MA
02139-1047
US

V. Phone/Fax

Practice location:
  • Phone: 617-575-5456
  • Fax:
Mailing address:
  • Phone: 617-394-7472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA156482
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number257551
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: