Individual provider Active NPI

Pamela Mechelle Harris, INTERN

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1194058602
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3307 Broadway Ste 200
3307 Broadway, Ste. 200
Sacramento, CA 95817-2847
Phone
(916) 454-4242
Fax
(916) 454-2930
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

3307 Broadway Ste 200
3307 Broadway, Ste. 200
Sacramento, CA 95817-2847

Mailing address

3307 Broadway Ste 200
3307 Broadway, Ste. 200
Sacramento, CA 95817-2847
Phone (916) 454-4242

Other names 1

  • Pamela Mechelle Harris Other name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1194058602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY STE 200",
            "address_2": "3307 BROADWAY, STE. 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172847",
            "telephone_number": "916-454-4242",
            "fax_number": "916-454-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY STE 200",
            "address_2": "3307 BROADWAY, STE. 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172847",
            "telephone_number": "916-454-4242",
            "fax_number": "916-454-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAMELA",
        "middle_name": "MECHELLE",
        "credential": "INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HARRIS",
            "middle_name": "MECHELLE",
            "credential": "INTERN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.