Provider Demographics
NPI:1124386875
Name:HARRIS, ARI L (MD)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:L
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 HARVARD ST STE 210
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-3318
Mailing Address - Country:US
Mailing Address - Phone:855-427-2778
Mailing Address - Fax:916-567-3501
Practice Address - Street 1:2180 HARVARD ST STE 210
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-3318
Practice Address - Country:US
Practice Address - Phone:855-427-2778
Practice Address - Fax:916-567-3501
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-21909-02084P0804X
CAA1741682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry