Individual provider Active NPI

Jonathan Harry, M.D.

  • Psychiatry Physician
  • Merced, CA
National Provider Identifier
1992852305
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A69582 Issued in CA
Practice address
808 W 16TH St
Merced, CA 95340-4600
Phone
(209) 381-6800
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X A69582 CA
Child & Adolescent Psychiatry Physician 2084P0804X A69582 CA
Psychiatry Physician 2084P0800X A69582 CA Primary

Addresses

Primary practice location

808 W 16TH St
Merced, CA 95340-4600

Mailing address

5585 Bear Creek Dr
Catheys Valley, CA 95306-9714
Phone (209) 374-3392

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108001224 CA Practitioner - Psychiatry 9739089681 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
County of MariposaGroup PAC ID 2163508219, 3 clinicians

Practice addresses (Care Compare)

5362 Lemee LN
Mariposa, CA 95338-9556
Phone (209) 966-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69582CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Current Accepting new patients
County of San Joaquin CurrentSince Dec 22, 2024 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Dec 22, 2024 Accepting new patients
County of Mariposa CurrentSince Mar 6, 2017 Accepting new patients
Glom Outpatient Services Inc. CurrentSince Jan 1, 2025 Accepting new patients
Advanced Eyecare Professional Optometric Group Past Accepting new patients
Greta Torossian, Optometric Corp. Past Accepting new patients
Glom Substance Abuse Program Past Accepting new patients

Locations

3123 Independence Dr
Livermore, CA 94551
Phone (209) 330-7155

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1111 W Tokay St
Ste A
Lodi, CA 95240
Phone (925) 640-5426

5362 Lemee Ln
Mariposa, CA 95338
Phone (209) 966-2000

1020 W Main St
Merced, CA 95340
Phone (209) 330-7155

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

130 W Flora St
Stockton, CA 95202
Phone (844) 456-6677

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1992852305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 BEAR CREEK DR",
            "city": "CATHEYS VALLEY",
            "state": "CA",
            "postal_code": "953069714",
            "telephone_number": "209-374-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W 16TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404600",
            "telephone_number": "209-381-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A69582",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A69582",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A69582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.