Active NPI
Andrew Harlem, PHD
- Psychologist
- Oakland, CA
National Provider Identifier
1669707048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 19482
- Practice address
- 5313 College Ave
Oakland, CA 94618-1416 - Phone
- (510) 435-5273
- NPI assigned
- Oct 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 19482 | CA | Primary |
Addresses
Primary practice location
5313 College Ave
Oakland, CA 94618-1416
Mailing address
736 Montecillo Rd
San Rafael, CA 94903-3136
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19482 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1669707048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 MONTECILLO RD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5313 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181416",
"telephone_number": "510-435-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEM",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-02",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "19482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.