Active NPI
Sheera Noadiyah Harrell, PHD
- Psychologist
- Fresno, CA
National Provider Identifier
1326550930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY32580
- Practice address
- 4974 E Clinton Way Ste C102
Fresno, CA 93727-1531 - Phone
- (559) 202-3713
- NPI assigned
- Nov 5, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY32580 | CA | Primary |
Addresses
Primary practice location
4974 E Clinton Way Ste C102
Fresno, CA 93727-1531
Mailing address
1420 Shaw Ave Ste 102-117
Clovis, CA 93611-4072
Phone (559) 202-3713
Other practice location 1
2514 N Whittier Ave
Fresno, CA 93727-1462
Phone (559) 554-9703
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY32580 | CA | MD | Psychologist |
| 32580 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ZND Residential Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1932779550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1326550930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 SHAW AVE STE 102-117",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114072",
"telephone_number": "559-202-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4974 E CLINTON WAY STE C102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271531",
"telephone_number": "559-202-3713"
}
],
"practiceLocations": [
{
"address_1": "2514 N Whittier Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271462",
"country_code": "US",
"telephone_number": "559-554-9703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRELL",
"first_name": "SHEERA",
"middle_name": "NOADIYAH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-05",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY32580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.