John Harris

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

102 S 11TH St
San Jose, CA 95112-2132

Phone

(408) 998-5191

Fax

(408) 279-1930

NPI assigned

Dec 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Pathway Society Inc

  • Substance Abuse Rehabilitation Facility
  • San Jose, CA
  • NPI 1902194095
  NPD (past)

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1780953323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 11TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122132",
            "telephone_number": "408-998-5191",
            "fax_number": "408-279-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 11TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122132",
            "telephone_number": "408-998-5191",
            "fax_number": "408-279-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Harris, MD
• Danielle Patrice Harris, RADT-I
• Devanae Harris
• Hugh R. Harris, MD
• Jasmine Harris
• Kevin Lee Harris, DO
• Mishalan Harris
• Shelly Alyse Harris, LMFT, 119363
• Stephen Jacob Harris, MD
• Summyr Nickole Harris

• Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.