Individual provider Active NPI

Elizabeth Mole, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasanton, CA
National Provider Identifier
1376979237
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95000987 Issued in CA
Practice address
4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756
Phone
(925) 241-0227
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95000987 CA Primary

Addresses

Primary practice location

4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756

Mailing address

4695 Chabot Dr Ste 200
Pleasanton, CA 94588-2756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218000248 CA Practitioner - Nurse Practitioner 3476863119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Harris, M.D., Inc. Current Accepting new patients
Hiawatha Harris, Corporation CurrentSince Jan 13, 2016 Accepting new patients
Hiawatha Harris, M.D., Inc. CurrentSince Jan 13, 2016 Accepting new patients
The Body and Mind Clinic, a Professional Nursing Corporation Psychiatric/Mental Health Current Accepting new patients

Locations

1700 Broadway
#500
Oakland, CA 94612
Phone (510) 273-4200

5674 Stoneridge Dr
Ste 205
Pleasanton, CA 94588
Phone (925) 520-0006

5674 Stoneridge Dr
Ste 207
Pleasanton, CA 94588

4695 Chabot Dr
Ste 200
Pleasanton, CA 94588
Phone (925) 222-4338

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1376979237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 CHABOT DR STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 CHABOT DR STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882756",
            "telephone_number": "925-241-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLE",
        "first_name": "ELIZABETH",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95000987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.