MEDICARE: JENNIFER M HARRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	202813	MA
2	2084P0800X	Psychiatry Physician	202813	MA

General Provider Information

NPI Number	:	1194833418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER M HARRIS M.D.

Provider Business Mailing Address
First Line	:	9 COURT ST., 2ND FLOOR
Second Line	:
City	:	AUBURNDALE
State	:	MA
Zip	:	02466-1603
Country	:	US
Telephone Number	:	781-488-3030
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 COURT ST STE 2
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-4817
Country	:	US
Telephone Number	:	781-488-3030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	07/02/2025

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