Tracie Danielle Harvey, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

G83052 Issued in CA

Practice address

225 Academy Ave
Sanger, CA 93657-2128

Phone

(559) 875-7705

NPI assigned

Apr 10, 2006

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of California, Geffen School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hiawatha Harris MD Inc.Group PAC ID 1052580115, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hiawatha Harris, M.D., Inc.

  dba Pathways To Wellness, Medication Clinic

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1942420724
  Medicare reassignment Care Compare group NPD
• Hiawatha Harris, Corporation

  dba Pathways To Wellness Medication Clinic

  • Clinical Child & Adolescent Psychologist
  • Martinez, CA
  • NPI 1407063936
  NPD
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Irwindale, CA
  • NPI 1821495003
  NPD (past)
• Tracie D Harvey MD a Medical Corporation

  • Psychiatry Physician
  • Lakewood, CA
  • NPI 1194056234
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1013970037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 LEVELSIDE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124031",
            "telephone_number": "562-234-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ACADEMY AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572128",
            "telephone_number": "559-875-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 N Kaweah Ave",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "CA",
            "postal_code": "932211271",
            "country_code": "US",
            "telephone_number": "559-594-4969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4211 Avalon Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900115622",
            "country_code": "US",
            "telephone_number": "323-233-0425 x130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 N Court St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932913638",
            "country_code": "US",
            "telephone_number": "559-627-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "TRACIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G83052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Sanger, CA
• Providers in Sanger, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.