Individual provider Active NPI

Diane Harnish, PH.D.

  • Psychologist
  • Sebastopol, CA
National Provider Identifier
1962791640
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 24138 Issued in CA
Practice address
6741 Redwood Ave
Sebastopol, CA 95472-4514
Phone
(415) 924-4252
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PSY24138 CA
Psychologist 103T00000X PSY 24138 CA Primary

Addresses

Primary practice location

6741 Redwood Ave
Sebastopol, CA 95472-4514

Mailing address

6741 Redwood Ave
Sebastopol, CA 95472-4514
Phone (415) 924-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110722000265 CA Practitioner - Clinical Psychologist 0648448472 Practice locations: Sebastopol, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6741 Redwood Ave
Sebastopol, CA 95472-4514
Phone (415) 924-5556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY24138CAMDMental Health Counselor
PSY 24138CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1962791640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 REDWOOD AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724514",
            "telephone_number": "415-924-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 REDWOOD AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724514",
            "telephone_number": "415-924-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNISH",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY24138",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 24138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.