HIAWATHA HARRIS, CORPORATION (NPI# 1396021150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396021150 |
| Entity Type | Organization |
| Organization Name | HIAWATHA HARRIS, CORPORATION |
| Other Organization Name | PATHWAYS TO WELLNESS, MEDICATION CLINIC |
| Practice Address |
509 W 10th St Antioch CA 94509-1653 |
| Mailing Address |
5674 Stoneridge Dr Ste 207 Pleasanton CA 94588-8592 |
| Practice Telephone | 9257061510 |
| Practice Fax Number | 9258929822 |
| Mailing Telephone | 9255200005 |
| Mailing Fax Number | 9255200010 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | MRS. NEISHA BECTON (CEO) |
| Authorized Official Telephone | 9255200005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Pathways to Wellness, Medication Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336440353 | Hiawatha Harris, Corporation | Counselor | 1453 First St, Livermore, CA 94550-4203 | 2010-11-08 |
| 1407063936 | Hiawatha Harris, Corporation | Psychologist | 1210 Alhambra Ave, Martinez, CA 94553-2314 | 2007-05-16 |
| 1326269630 | Hiawatha Harris, Corporation | Counselor | 4241 Long Beach Blvd, Long Beach, CA 90807-2003 | 2007-05-02 |
| Street Address |
509 W 10TH ST |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346390374 | Linda Linn Webster Robinson | Psychologist | 509 W 10th St, Antioch, CA 94509-1653 | 2007-01-11 |
| 1336778869 | Xe Misty Xiong | Marriage & Family Therapist | 509 W 10th St, Antioch, CA 94509-1653 | 2020-04-06 |
| 1669919064 | Emily Broadhurst | Counselor | 509 W 10th St, Antioch, CA 94509-1653 | 2017-01-23 |
| 1699228759 | Yvonne Morgan | Counselor | 509 W 10th St, Antioch, CA 94509-1653 | 2016-07-25 |
| 1770935819 | Center for Psychotherapy | Voluntary or Charitable | 509 W 10th St, Antioch, CA 94509-1653 | 2016-07-12 |
| 1396197786 | Matthew Lasley | Marriage & Family Therapist | 509 W 10th St, Antioch, CA 94509-1653 | 2016-07-08 |
| 1588025001 | Scott William Menasco | Marriage & Family Therapist | 509 W 10th St, Antioch, CA 94509-1653 | 2016-03-10 |
| 1881032738 | Ellen Strong | Marriage & Family Therapist | 509 W 10th St, Apt. #6, Antioch, CA 94509-1653 | 2013-06-12 |
| 1033413513 | Justin Low | Psychologist | 509 W 10th St, Antioch, CA 94509-1653 | 2010-12-27 |
| 1790098697 | Amy Sue Batterton | Marriage & Family Therapist | 509 W 10th St, Antioch, CA 94509-1653 | 2010-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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|---|---|---|---|---|
| 1770985004 | M2 Creative | Psychologist | 6715 Melrose Ave, Los Angeles, CA 90038-3411 | 2014-09-18 |
| 1508294083 | Silverlining Psychiatry Medical Group | Psychologist | 3252 Holiday Ct Ste 108, La Jolla, CA 92037-1807 | 2013-10-21 |
| 1235408089 | Behavioral Research Specialists, LLC | Psychologist | 230 N. Maryland Ave, #309, Glendale, CA 91206 | 2011-12-23 |
| 1730342957 | United Behavioral Center, Inc | Psychologist | 834 W Avenue J, Lancaster, CA 93534-3427 | 2008-07-08 |
| 1528245917 | Claude E. Arnett | Psychologist | 403 N Susan St, Santa Ana, CA 92703-3433 | 2008-01-28 |
| 1811102908 | Mary Ann Barr | Psychologist | 277 Cascade Dr, Mill Valley, CA 94941-5025 | 2007-05-11 |
| 1255544557 | Pituck Medical Group, Inc. | Psychologist | 5858 Magnolia Ave Ste C, Riverside, CA 92506-1886 | 2007-05-07 |
| 1932320389 | Ricque L. Brister | Psychologist | 56 Hanover Ln, Suite., 100, Chico, CA 95973-7230 | 2007-05-02 |
| 1013539121 | Sally Kei Mason | Psychologist | 510 Plaza Dr Ste 170, Folsom, CA 95630-4790 | 2020-05-12 |
| 1043691025 | New Day Institute | Psychologist | 6391 Magnolia Ave, Suite A, Riverside, CA 92506-2424 | 2015-06-15 |
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| 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.