DIANE HARRIS
NPI 1679648158
Psychiatry & Neurology - Child & Adolescent Psychiatry in Campbell, CA

Q: What is Diane Harris's NPI number?

The NPI number for Diane Harris is 1679648158. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Diane Harris's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Diane Harris was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2006PECOS Enrolled

251 LLEWELLYN AVE, CAMPBELL, CA 95008(408) 364-4068 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Diane Harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE HARRIS (NPI 1679648158) is an individual child & adolescent psychiatry provider in Campbell, California, licensed in California (G084412) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679648158

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDIANE HARRIS

Location Address251 LLEWELLYN AVECampbell, CA 95008-1940

Mailing Address251 Llewellyn AveCampbell, CA 95008-1940

Phone(408) 364-4068

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679648158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · G084412

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

251 LLEWELLYN AVE, Campbell, CA 95008

Open in Google Maps ↗

Other Identifiers 1

Other3430CA · County Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Harris is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Diane Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Solutions For Children, Families And Individuals

7.3 mi

Community/Behavioral Health

1356 RIDDER PARK DR.
San Jose, CA 95131

Reassigned Medicare billing, California enrollment
21 clinicians in this Medicare group

NPI 1699927319 (408) 225-9163

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL CASTOR

Case Manager/Care Coordinator