Shantell Harris, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36858 Issued in CA

Practice address

1568 McLeod PL
Pomona, CA 91768-1348

Phone

(909) 620-7543

NPI assigned

Feb 18, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• West Covina Foster Family Agency

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pomona, CA
  • NPI 1609414739

  Psychologist

  NPD
• West Covina Foster Family Agency

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chino, CA
  • NPI 1306394879
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1043803232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W MAXZIM AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323149",
            "telephone_number": "714-718-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 MCLEOD PL",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681348",
            "telephone_number": "909-620-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHANTELL",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "36858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Joseph Edward Harper, M.D.
• Joan Ryan Harper
• Alicia Harrell
• Erika Harris
• Jerry Harris
• Tiffenie A Harris, O.D.
• Yovana Guzman Harris, COTA/L
• Opriye O. Harrison
• Rod B Harrison, D,D,S,
• Virginia Hart-Kepler, MN RN FNP-C

• Psychologist in Pomona, CA
• Providers in Pomona, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.