MR. CHARLES NOMA HARRIS (NPI# 1497964738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497964738 |
| Entity Type | Individual |
| Full Name | MR. CHARLES NOMA HARRIS |
| Credential | PHD |
| Practice Address |
4815 Thomas Rd Sebastopol CA 95472-9764 |
| Practice Telephone | 7078295170 |
| Practice Fax Number | 7078295170 |
| Mailing Telephone | 7078295170 |
| Mailing Fax Number | 7078295170 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 3860 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757665 | Charles Harris | Counselor | 27940 Tyler Ln, Canyon Country, CA 91387-2918 | 2018-10-29 |
| 1699052050 | Charles Wood Harris | Physical Therapist | 880 Canyon Creek Ln, Gardnerville, NV 89460-6426 | 2011-11-12 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1841411543 | Charles Ronald Harris | Pharmacist | 3621 N Highway 231, Panama City, FL 32404-9743 | 2007-05-01 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1770666562 | Charles R Harris Jr. | Dentist | 2922 George Washington Highway, Hayes, VA 23072 | 2006-10-23 |
| 1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
| 1073524005 | Charles Harris Sr. | Social Worker | 1230 Magnolia Dale Dr, Fresno, TX 77545-9680 | 2006-08-11 |
| 1326065871 | Charles Harris | Emergency Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2006-07-17 |
| 1427016534 | Charles L Harris | Ophthalmology | 836 East 65th St, Bldg 34, Savannah, GA 31405-6007 | 2006-05-01 |
| Street Address |
4815 THOMAS RD |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114100500 | Charles N Harris Phd A Psychological Corp | Psychologist | 4815 Thomas Rd, Sebastopol, CA 95472-9764 | 2007-12-10 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730591835 | Jonathan Gonick-hallows | Psychologist | 8380 Germone Rd, Sebastopol, CA 95472-4008 | 2014-05-22 |
| 1659512697 | James Leon Friedman | Psychologist | 4440 Belmont Dr, Sebastopol, CA 95472-6307 | 2009-03-22 |
| 1811174220 | Vipassana Christine Esbjorn | Psychologist | 7151 Wilton Ave, Ste 201, Sebastopol, CA 95472-3756 | 2008-01-28 |
| 1710184593 | Russell Schreiber | Psychologist | 11000 Falstaff Rd, Sebastopol, CA 95472-9114 | 2007-06-27 |
| 1245442722 | Thea Goldstine | Psychologist | 171 N. High St., Sebastopol, CA 95472 | 2007-05-04 |
| 1083777965 | Richard P Caruso | Psychologist | 7470 Kennedy Rd, Sebastopol, CA 95472-5420 | 2006-12-19 |
| 1023179322 | Kenneth Hunter Crittenden | Psychologist | 501 Swain Ave, Sebastopol, CA 95472-4339 | 2006-12-12 |
| 1043384720 | Anne M Pincus | Psychologist | 1070 Gravenstein Hwy S., Suite 130, Sebastopol, CA 95472 | 2006-11-17 |
| 1518053578 | June Ann Gordon | Psychologist | 1741 Gravenstein Hwy S, Sebastopol, CA 95472-4838 | 2006-10-05 |
| 1922119809 | Bruce Gerard Hiner | Psychologist | 120 Pleasant Hill Ave N Ste 340, Sebastopol, CA 95472-3168 | 2006-08-31 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on MR. CHARLES NOMA HARRIS.
| 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.