Diane J. Harris-Wilson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 9780 Issued in CA

Practice address

519 17TH St
Suite 530
Oakland, CA 94612-1527

Phone

(510) 452-4281

Fax

(510) 452-4281

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619011723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 17TH STREET",
            "address_2": "SUITE 530",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121503",
            "telephone_number": "510-452-4281",
            "fax_number": "510-452-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 17TH ST",
            "address_2": "SUITE 530",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121527",
            "telephone_number": "510-452-4281",
            "fax_number": "510-452-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-WILSON",
        "first_name": "DIANE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 9780",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Richard Harris-Gloyer
• Daniel Kehinde Harris-Lucas
• Michelle Annette Harris-Miller, FNP-C
• Carolyn D. Harris-Muchell, PHD, MPHCNS-BC, RN
• Dudleasa Stacie Harris-Thomas, PH.D
• Ajah Harris
• Alissa Harris
• Bradley Harris
• Brandi Alexandria Harris
• Carlisa Harris

• Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychologist in California

• 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.