Individual provider · Type 1 NPI

Kaitlyn C. Harris

Peer Specialist · Mastic, NY

NPI number 1003783416 Active

Practice location

1235 Montauk Hwy
Mastic, NY 11950-2917

Call (631) 345-0083 Map

Mailing address

82 Elizabeth Dr
Wading River, NY 11792-1809

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003783416

Kaitlyn C. Harris's National Provider Identifier is 1003783416, issued on Oct 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mastic, NY. The record was last updated on Oct 21, 2025.