Individual provider Active NPI

Dharmini Harichandran, M.D

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1386668820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00A408750 Issued in CA
Practice address
39 Quail CT Ste 204
Walnut Creek, CA 94596-5569
Phone
(925) 944-1154
Fax
(925) 472-0254
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00A408750 CA Primary

Addresses

Primary practice location

39 Quail CT Ste 204
Walnut Creek, CA 94596-5569

Mailing address

39 Quail CT Ste 204
Walnut Creek, CA 94596-5569
Phone (925) 944-1154

Other identifiers 1

IdentifierTypeStateIssuer
5890423MedicaidCA

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 Medicine

State licenses

LicenseStateTypeSpecialty
40875CAMDMarriage & Family Therapist
00A408750CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386668820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 QUAIL CT STE 204",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965569",
            "telephone_number": "925-944-1154",
            "fax_number": "925-472-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 QUAIL CT STE 204",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965569",
            "telephone_number": "925-944-1154",
            "fax_number": "925-472-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARICHANDRAN",
        "first_name": "DHARMINI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "00A408750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5890423",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.