Individual provider Active NPI

Monique Harrison, MD

  • Psychiatry Physician
  • San Bernardino, CA
National Provider Identifier
1407382773
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A157168 Issued in CA
Practice address
820 E Gilbert St
San Bernardino, CA 92415-7793
Phone
(909) 387-7200
NPI assigned
May 5, 2017
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 63839 TN
Psychiatry Physician 2084P0800X MD-22497 HI
Psychiatry Physician 2084P0800X A157168 CA Primary

Addresses

Primary practice location

820 E Gilbert St
San Bernardino, CA 92415-7793

Mailing address

6200 Canoga Ave Ste 108
Woodland Hills, CA 91367-7793

Other practice location 1

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone (808) 691-1000

Other practice location 2

275 Cumberland Bnd
Nashville, TN 37228-1805
Phone (866) 816-0433

Other practice location 3

6200 Canoga Ave Ste 108
Woodland Hills, CA 91367-7793
Phone (818) 528-6165

Other practice location 4

6200 Canoga Ave Ste 108
Woodland Hills, CA 91367-7793
Phone (818) 525-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA, HI, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220308001677 TN Practitioner - Psychiatry 9335533371 Reassigns benefits to 1 organization
I20220920000325 CA Practitioner - Psychiatry 9335533371 Reassigns benefits to 3 organizations
I20230202002236 HI Practitioner - Psychiatry 9335533371 Reassigns benefits to 3 organizations
I20230816003593 OR Practitioner - Psychiatry 9335533371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asana Integrated Medical Group PCGroup PAC ID 0042124778, 24 clinicians
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (844) 496-9160

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (844) 496-9160

2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone (661) 868-1800

79 -1019 Haukapila St
Kealakekua, HI 96750-7920
Phone (844) 496-9160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A157168CAMDPsychiatry Physician
MD-22497HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Psychiatry CurrentSince Sep 2, 2025 Accepting new patients
County of San Bernardino Current Accepting new patients
The Queens Medical Center CurrentSince Dec 1, 2022 Accepting new patients
The Queen's Medical Center CurrentSince Dec 1, 2022 Accepting new patients
County of San Bernardino CurrentSince Apr 8, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince May 18, 2022 Accepting new patients
County of San Bernardino CurrentSince Apr 8, 2024 Accepting new patients
County of Kern Psychiatry CurrentSince Sep 2, 2025 Accepting new patients
The Queen's Medical Center Current Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Feb 7, 2022 Accepting new patients
County of Kern Psychiatry Current Accepting new patients
Queens University Medical Group CurrentSince Dec 1, 2022 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801

820 E Gilbert St
Sn Bernrdno, CA 92415
Phone (909) 386-8510

6200 Canoga Ave
Ste 108
Woodland Hills, CA 91367
Phone (617) 204-3500

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

4500 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-2980

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1407382773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 108",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E GILBERT ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924157793",
            "telephone_number": "909-387-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Punchbowl St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132499",
            "country_code": "US",
            "telephone_number": "808-691-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Cumberland Bnd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281805",
            "country_code": "US",
            "telephone_number": "866-816-0433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Canoga Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677793",
            "country_code": "US",
            "telephone_number": "818-528-6165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Canoga Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677793",
            "country_code": "US",
            "telephone_number": "818-525-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MONIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "63839",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-22497",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A157168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.