CHARLES N HARRIS PHD A PSYCHOLOGICAL CORP (NPI# 1114100500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114100500 |
| Entity Type | Organization |
| Organization Name | CHARLES N HARRIS PHD A PSYCHOLOGICAL CORP |
| Practice Address |
4815 Thomas Rd Sebastopol CA 95472-9764 |
| Practice Telephone | 7078295170 |
| Mailing Telephone | 7078295170 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | DR. CHARLES N HARRIS (PRESIDENT) |
| Authorized Official Telephone | 7078295170 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY3864 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4815 THOMAS RD |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497964738 | Charles Noma Harris | Psychologist | 4815 Thomas Rd, Sebastopol, CA 95472-9764 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1265669212 | David Wise | Psychologist | 12470 Fiori Lane, Sebastopol, CA 95472 | 2009-06-17 |
| 1104946110 | Margaret O'shea Tippy | Psychologist | 1407 Schaeffer Road, Sebastopol, CA 95472-5542 | 2007-03-31 |
| 1205966728 | Cynthia Acks-stewart | Psychologist | 435 Petaluma Ave Ste 136, Sebastopol, CA 95472 | 2007-03-06 |
| 1518014059 | Neil B Steinberg | Psychologist | 874 Gravenstein Highway South, Sebastopol, CA 95472-4122 | 2007-01-05 |
| 1376628255 | David John Murphy | Psychologist | 874 Gravenstein Ave, Suite 15, Sebastopol, CA 95472-4555 | 2006-10-26 |
| 1326130576 | Marylou Donnelly | Psychologist | 105 Morris St Ste 180, Sebastopol, CA 95472-3835 | 2006-09-28 |
| 1902824386 | Erin Kay Riley | Psychologist | 435 Petaluma Ave, Suite #140, Sebastopol, CA 95472-4277 | 2006-07-17 |
| 1154685907 | Basim Abraham Farah | Psychologist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2012-06-26 |
| 1093087637 | Cammy Anne Michel | Psychologist | 101 Morris St, Sebastopol, CA 95472-3836 | 2012-01-28 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on CHARLES N HARRIS PHD A PSYCHOLOGICAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.