Individual provider Active NPI

Christopher Rollin Harkness, PHD

  • Clinical Psychologist
  • Palo Alto, CA
National Provider Identifier
1518089457
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14296 Issued in CA
Practice address
220 S California Ave
Suite 120
Palo Alto, CA 94306-1641
Phone
(650) 321-4935
NPI assigned
Apr 4, 2007
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY14296 CA Primary

Addresses

Primary practice location

220 S California Ave
Suite 120
Palo Alto, CA 94306-1641

Mailing address

220 S California Ave
Suite 120
Palo Alto, CA 94306-1641
Phone (650) 321-4935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 20, 2015 through Nov 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY14296CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1518089457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S CALIFORNIA AVE",
            "address_2": "SUITE 120",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061641",
            "telephone_number": "650-321-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CALIFORNIA AVE",
            "address_2": "SUITE 120",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061641",
            "telephone_number": "650-321-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKNESS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROLLIN",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.