John Meredith Harris, DO
Individual provider Active NPI Psychiatry Physician · Glenbrook, NV
NPI 1275396160 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1275396160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 746 (NV)
- Practice address
- 1691 Michael LN
Glenbrook, NV 89413 - Phone
- (530) 318-3878
- NPI assigned
- Feb 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 746 | NV | Yes |
Addresses
Primary practice location
1691 Michael LN
Glenbrook, NV 89413
Mailing address
PO Box 351
Glenbrook, NV 89413-0351
Phone (530) 318-3878
Other providers in Glenbrook, NV
All providers in Glenbrook, NV · Psychiatry Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.