Andiea Hedayat-Harris, Ph.D.
Psychologist, Clinical in Fort Lee, NJ. Individual provider (NPI-1).
NPI number1104042431
StatusActive
Last updated in NPPESJul 18, 2017
Details
- NPI
- 1104042431
- Entity type
- Individual (NPI-1)
- Name
- Andiea Hedayat-Harris
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2007
- Last updated
- Jul 18, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 012882-1 | NY | Yes |
Other names
- Andiea Hedayat-Harris (Professional Name)
Practice location
2215 N Central RdApt. 4g
Fort Lee, NJ 07024-7551
Phone 201-585-8720
Mailing address
2215 North Central Road Apt 4gFort Lee
New Jersey, NJ 07024-0702
Phone 201-585-8720
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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