DR. DUDLEASA STACIE HARRIS-THOMAS PH.D
NPI 1932265170
Psychologist - Clinical in Oakland, CA

Active since December 30, 2006PECOS Enrolled
969 BROADWAY, OAKLAND, CA 94607(510) 251-3905 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Feb 11, 2022 (2 updates tracked since 2022).

About Dr. Dudleasa Stacie Harris-thomas Ph.d NPPES

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

DR. DUDLEASA STACIE HARRIS-THOMAS PH.D (NPI 1932265170) is an individual clinical provider in Oakland, California, licensed in California (PSY17974) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932265170
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DUDLEASA STACIE HARRIS-THOMASCredential: PH.D
Location Address969 BROADWAYOakland, CA 94607-4017
Mailing AddressPo Box 20422Oakland, CA 94620-0422 · (510) 251-3905
Sole ProprietorYes
Enumeration DateDecember 30, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1932265170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY17974
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PSY17974 (CA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY17974 (CA)

Other Names 1

Other Name (5)Dr. Stacie Harris-thomas Ph.d

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dudleasa Stacie Harris-thomas Ph.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Marriage & Family Therapist
969 BROADWAY
OAKLAND, CA 94607
Social Worker
969 BROADWAY
OAKLAND, CA 94607
Psychologist (Clinical)
969 BROADWAY
OAKLAND, CA 94607
Counselor (Addiction (Substance Use Disorder))
969 BROADWAY
OAKLAND, CA 94607
Internal Medicine
969 BROADWAY
OAKLAND, CA 94607
Counselor (Mental Health)
969 BROADWAY
OAKLAND, CA 94607
Counselor (Addiction (Substance Use Disorder))
969 BROADWAY
OAKLAND, CA 94607
Marriage & Family Therapist
969 BROADWAY
OAKLAND, CA 94607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dudleasa Harris-thomas's NPI number?

The NPI number for Dudleasa Harris-thomas is 1932265170. It was assigned to this individual provider in the NPPES registry on December 30, 2006. The provider is also known as Dr. Stacie Harris-Thomas Ph.D.

Where is Dudleasa Harris-thomas located?

Dudleasa Harris-thomas practices at 969 Broadway, Oakland, CA 94607. The listed phone number is (510) 251-3905.

What is Dudleasa Harris-thomas's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dudleasa Harris-thomas enrolled in Medicare?

Yes. Dudleasa Harris-thomas is registered in the Medicare PECOS enrollment system.

What insurance does Dudleasa Harris-thomas accept?

Health plans from Providence Health Plan list Dudleasa Harris-thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dudleasa Harris-thomas was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.