Paige Harris

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238

Phone

(510) 948-0075

Fax

(510) 844-3385

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Momo Harris Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Progress Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • San Francisco, CA
  • NPI 1750445631
  NPD (past)

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1700238573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NEVIN AVE APT 315",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041773",
            "telephone_number": "510-837-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 MARTIN LUTHER KING JR WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043238",
            "telephone_number": "510-948-0075",
            "fax_number": "510-844-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOMO",
            "last_name": "HARRIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daiana J Harper, M.D.
• Stacey Lee Harris Brinser, RN
• Jacalyn D. Harris, R.P.T.
• Jennifer Rachel Harris, MFT
• Katie E Harris, CNM, WHNP
• Shaneice Harris
• Shelialanna L Harris, LMFT
• Valeria Harris, MA, MFT
• Kathleen Harrison-Ellis
• Clifton Harrison

• Case Manager/Care Coordinator in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.