Provider Demographics
NPI:1205866308
Name:KUMAR, HARMESH (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARMESH
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2285 MOUNT DIABLO ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2211
Mailing Address - Country:US
Mailing Address - Phone:925-356-0122
Mailing Address - Fax:925-356-0124
Practice Address - Street 1:3308 CONCORD BLVD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2303
Practice Address - Country:US
Practice Address - Phone:925-356-0122
Practice Address - Fax:925-356-0124
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16738103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PL167382Medicare ID - Type Unspecified