DR. CAROLYN D. HARRIS-MUCHELL (NPI# 1619155280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619155280 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN D. HARRIS-MUCHELL |
| Credential | PHD, MPHCNS-BC, RN |
| Practice Address |
405 14th St 300 Oakland CA 94612 |
| Mailing Address |
405 14th St 300 Oakland CA 94612-2715 |
| Practice Telephone | 5105622206 |
| Practice Fax Number | 5105622206 |
| Mailing Telephone | 5105622206 |
| Mailing Fax Number | 5105622206 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
406327 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
406327 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
405 14TH ST 300 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184804767 | Kimberly Anderson | Physician Assistant | 405 14th St, Ste 712, Oakland, CA 94612-2715 | 2007-11-12 |
| 1346621638 | Tara Elizabeth Marino | Dietitian, Registered | 405 14th St, Suite 610, Oakland, CA 94612-2715 | 2015-06-12 |
| 1326449778 | Barbara Freiheit | Nurse Practitioner | 405 14th St, Oakland, CA 94612-2715 | 2014-09-04 |
| 1144507252 | Michelle Siobhan Roy | Dietitian, Registered | 405 14th St, Suite 610, Oakland, CA 94612-2715 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184914095 | Lorna Kendrick | Clinical Nurse Specialist | 769 W Blaine St, Ste B, Riverside, CA 92507-3970 | 2011-04-12 |
| 1396063467 | Dena Greene | Clinical Nurse Specialist | 23700 Camino Del Sol, Torrance, CA 90505-5017 | 2010-05-13 |
| 1285835348 | Beth Ann Armstrong | Clinical Nurse Specialist | 39155 Liberty St, Suite G710, Fremont, CA 94538-1513 | 2007-05-29 |
Please comment or provide details below to improve the information on DR. CAROLYN D. HARRIS-MUCHELL.
| 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.