Renee Hazel Harris

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSSNDCZTP Issued in CA

Practice address

2415 University Ave
Suite 30
East Palo Alto, CA 94303-1164

Phone

(650) 363-4030

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1134244247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE",
            "address_2": "SUITE 30",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031164",
            "telephone_number": "650-363-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY AVE",
            "address_2": "SUITE 30",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031164",
            "telephone_number": "650-363-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RENEE",
        "middle_name": "HAZEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSSNDCZTP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quimani Green, LCSW
• Melissa C Guajardo, R.N.
• Melissa Ann Guariglia, PSYD
• Shalimar Guerra, C.A.T.C.
• Amanda Haiman Gersich, M.D.
• Healthright360
• Helping Others Maintain Earth, Inc
• Todd Newell Henderson, CCAPP, CAADE, NAADAC
• Ethany Irene Hernandez
• Jessica Hernandez, RN

• Peer Specialist in East Palo Alto, CA
• Providers in East Palo Alto, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.