Carolyn D. Harris-Muchell, PHD, MPHCNS-BC, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95001644 Issued in CA

Practice address

2620 26TH Ave
Oakland, CA 94601-1907

Phone

(510) 437-2363

Fax

(510) 437-2366

NPI assigned

Feb 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

Locations

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.

• Hiawatha Harris, M.D., Inc.

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1942420724

  Single Specialty

  Medicare reassignment NPD
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1720164882

  Single Specialty

  Medicare reassignment NPD
• Hiawatha Harris, Corporation

  • Clinical Child & Adolescent Psychologist
  • Martinez, CA
  • NPI 1407063936
  NPD
• Telecare Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • San Diego, CA
  • NPI 1275398935
  NPD
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, CA
  • NPI 1598852741
  NPD

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1619155280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 101ST AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946033354",
            "telephone_number": "510-915-8668",
            "fax_number": "510-562-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 26TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011907",
            "telephone_number": "510-437-2363",
            "fax_number": "510-437-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-MUCHELL",
        "first_name": "CAROLYN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHD, MPHCNS-BC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "406327",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "CA",
            "license": "406327",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95001644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charrismuchell@telecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2620 26th Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946011907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Harrington
• Phoebe K Harris Millman, LCSW
• Matthew Richard Harris-Gloyer
• Daniel Kehinde Harris-Lucas
• Michelle Annette Harris-Miller, FNP-C
• Dudleasa Stacie Harris-Thomas, PH.D
• Diane J. Harris-Wilson, PH.D.
• Ajah Harris
• Alissa Harris
• Bradley Harris

• Psychiatric/Mental Health Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.