Active NPI
Emily Harris, M.D.
- Child & Adolescent Psychiatry Physician
- Davis, CA
National Provider Identifier
1073596938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G053980
- Practice address
- 2208 Isle Royale LN
Davis, CA 95616-6616 - Phone
- (530) 400-8963
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G053980 | CA | Primary |
Addresses
Primary practice location
2208 Isle Royale LN
Davis, CA 95616-6616
Mailing address
2208 Isle Royale LN
Davis, CA 95616-6616
Phone (530) 400-8963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G539800 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G053980 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1073596938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 ISLE ROYALE LN",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166616",
"telephone_number": "530-400-8963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 ISLE ROYALE LN",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166616",
"telephone_number": "530-400-8963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "EMILY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G053980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G539800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.