HIAWATHA HARRIS MD INC. (NPI# 1851511638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851511638 |
| Entity Type | Organization |
| Organization Name | HIAWATHA HARRIS MD INC. |
| Other Organization Name | PATHWAYS TO WELLNESS MEDICATION CLINIC |
| Practice Address |
2608 Central Ave Ste 1 Union City CA 94587-3148 |
| Mailing Address |
5674 Stoneridge Dr Suite 207 Pleasanton CA 94588-8500 |
| Practice Telephone | 5106750600 |
| Practice Fax Number | 5106750185 |
| Mailing Telephone | 9255200005 |
| Mailing Fax Number | 9255200010 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-08-02 |
| 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 | 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 | 01AX | 05 |
| Other Name | Type Code |
|---|---|
| Pathways To Wellness Medication Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942420724 | Hiawatha Harris Md Inc. | Psychologist | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2007-04-26 |
| Street Address |
2608 CENTRAL AVE STE 1 |
| City | UNION CITY |
| State | CA |
| Zip Code | 94587-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851442529 | Lisa M Torre-igwe | Registered Nurse | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2007-01-16 |
| 1568940252 | Ashley Jean Santos De Guzman | Registered Nurse | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2018-08-03 |
| 1124524681 | Pui Ki Chow | Counselor | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2018-04-03 |
| 1568961019 | Jose Calderon | Counselor | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2018-02-09 |
| 1932607017 | Nila Kaur | Counselor | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2018-01-24 |
| 1275052441 | Vicky Mora | Registered Nurse | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2017-09-19 |
| 1982000717 | Claribel Baisa | Physician Assistant | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2014-11-05 |
| 1720284433 | Sukhdeep Suprai | Counselor | 2608 Central Ave Ste 1, Union City, CA 94587-3148 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580800 | Abigail Karon Kelley | Behavioral Analyst | 3804 Shinglewood Ct, Union City, CA 94587 | 2019-04-17 |
| 1689140956 | Sindhu Jefferson | Specialist/Technologist | Ascend Rehab Services, 29516 Kohoutek Way, Union City, CA 94587 | 2018-10-15 |
| 1538653803 | Zaira Ramirez | Behavioral Analyst | 362 Teddy Dr, Union City, CA 94587 | 2018-06-19 |
| 1922501113 | Mariah L Flores | Behavior Technician | 34858 Starling Dr, Union City, CA 94587 | 2018-03-14 |
| 1528569464 | Herbert C K Chiu Dds, A Professional Corporation | Dentist | 2701 Decoto Rd Suite 4, Union City, CA 94587 | 2018-02-26 |
| 1760995765 | Tran N Bianconi | Optometrist | 3553 Whipple Rd Fl 1, Union City, CA 94587 | 2017-11-13 |
| 1649795022 | Lambert Javier Chiropractic, Inc | Clinic/Center | 32145 Alvarado Niles Rd Ste 206, Union City, CA 94587 | 2017-08-07 |
| 1023531779 | Dawn Christine Holderfield | Behavioral Analyst | 33635 9th St, Appt. 1, Union City, CA 94587 | 2017-07-24 |
| 1972031466 | Eloisa Panopio | Behavioral Analyst | 4372 Queen Anne Drive, Union City, CA 94587 | 2017-05-26 |
| 1801244884 | Loryann Gurion | Dentist | 32364 Dyer St., Union Landing Dental Center, Union City, CA 94587 | 2016-05-31 |
| Find all providers in zip 94587 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624796 | Jaslyn Bailey | Counselor | 435 Basildon Cv, Union City, GA 30291-7150 | 2019-08-14 |
| 1881160307 | Juan Antonio Zermeno De Santos | Counselor | 5550 Hillcrest Dr, Union City, GA 30291-1078 | 2018-10-23 |
| 1649794397 | Adella Wooden | Counselor | 7149 Boulder Pass, Union City, GA 30291-5137 | 2017-08-02 |
| 1750755658 | Tatnai Whitehead | Counselor | 3792 Shenfield Dr, Union City, GA 30291-7155 | 2015-11-17 |
| 1497189567 | Robert Jabari Hendrix | Counselor | 7350 Poppy Way, Union City, GA 30291-3410 | 2013-08-26 |
| 1285982231 | Morgan F Green | Counselor | 2420 Clover St, Union City, CA 94587-5320 | 2012-08-23 |
| 1366564700 | Sessen Tekle | Counselor | 32445 Jacklynn Dr, Union City, CA 94587-5122 | 2007-04-05 |
| 1730203001 | Michelle Thi Mai | Counselor | 4611 Cabello St, Union City, CA 94587-4715 | 2007-03-19 |
| 1508901794 | Lawrence Charles Scott Jr. | Counselor | 2966 Flint St, Union City, CA 94587-1619 | 2007-02-21 |
| 1972667905 | George Masaji Nakama | Counselor | 4453 Cabello St, Union City, CA 94587-3928 | 2006-12-21 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 94587 |
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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.