Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942629035 Individual Practitioner Male Practitioner

Dr. Blake Robert Harris , PhD

Psychologist - Forensic • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Blake Harris, PhD is a registered healthcare professional specializing in Psychologist - Forensic in Austin, TX. Practice services are available at 11010 DOMAIN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11010 Domain Dr
Apt 11331

Austin, TX 787587711

Telephone 2148377999

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Austin, TX (37 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License TX 36688

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Celesta Harris , PhD

Psychologist - Forensic

NPI 1972902740

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2014

Registered at 11010 DOMAIN DR, APT 11331, AUSTIN, TX 787587711 (Tel: 2148377999)

📍
Updated Business Mailing Address April 16, 2014

Registered at 11010 DOMAIN DR, APT 11331, AUSTIN, TX 787587711 (Tel: 2148377999)

👤
Provider Name / Credentials Updated April 16, 2014

Recorded as BLAKE HARRIS, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2014

Psychologist (License #36688 in TX)

🟢
Initial NPI Registration & Enumeration April 16, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942629035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2014
Last Update: April 16, 2014
Sole Proprietor: Yes

Mailing Address

11010 Domain Dr, Apt 11331

Austin, TX 787587711

Phone: 2148377999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.