HIAWATHA HARRIS MD INC. (NPI# 1942420724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942420724 |
| Entity Type | Organization |
| Organization Name | HIAWATHA HARRIS MD INC. |
| Other Organization Name | PATHWAYS TO WELLNESS, MEDICATION CLINIC |
| Practice Address |
1700 Broadway Ste 500 Oakland CA 94612-2141 |
| Mailing Address |
5674 Stoneridge Dr Suite 207 Pleasanton CA 94588-8500 |
| Practice Telephone | 5102734200 |
| Practice Fax Number | 5102738340 |
| Mailing Telephone | 9255200005 |
| Mailing Fax Number | 9255200010 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | NEISHA BECTON (CEO) |
| Authorized Official Telephone | 9255200005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TF0000X |
Psychologist Specialization: Family |
C22371 | CA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
C22371 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | C22371 | CA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C22371 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 01AG | 05 |
| Other Name | Type Code |
|---|---|
| Pathways To Wellness, Medication Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Broadway Ste 900, Oakland, CA 946122141 | 5108994518 | 5102738340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851511638 | Hiawatha Harris Md Inc. | Psychologist | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2007-04-26 |
| Street Address |
1700 BROADWAY STE 500 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466939 | Laura Banks Starks | Registered Nurse | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2020-10-26 |
| 1770183105 | Michelle Bowie | Registered Nurse | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2020-10-26 |
| 1134753486 | Pritpal Sangha | Specialist | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2020-02-25 |
| 1154974574 | Miltom Cruz | Registered Nurse | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2019-07-24 |
| 1295235182 | Jasmine Castle | Counselor | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2018-02-16 |
| 1770081879 | Wesley Joost | Licensed Vocational Nurse | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2018-01-24 |
| 1225540461 | Clemente Polines | Counselor | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2017-10-27 |
| 1063930733 | Alexandria Sweatt | Counselor | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2017-09-01 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1982218418 | Jill Patience Lahmann | Counselor | 1000 Broadway Ste 300, Oakland, CA 94607-4099 | 2020-09-02 |
| 1659983955 | Abigail Weintraub | Counselor | 625 Mariposa Ave, Oakland, CA 94610-1312 | 2020-08-18 |
| 1447871561 | Ronika Williams | Counselor | 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 | 2020-04-29 |
| 1699306092 | Bryon C Pickens | Counselor | 355 Bob White Rd, Oakland, TN 38060-4109 | 2020-02-04 |
| 1366082950 | La Tronda Shawna Lumpkins | Counselor | 8501 International Blvd, Oakland, CA 94621-1549 | 2020-01-10 |
| 1861033201 | Fatima Zahra Allam | Counselor | 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 | 2019-10-07 |
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1013472224 | Janay Green | Counselor | 6951 Lion Way Apt 302, Oakland, CA 94621-3368 | 2019-02-01 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on HIAWATHA HARRIS MD INC..
| 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.