HIAWATHA HARRIS, M.D., INC.
NPI 1942420724
Counselor - Mental Health in Oakland, CA

Active since April 26, 2007
1970 BROADWAY STE 250, OAKLAND, CA 94612(510) 273-4200(510) 273-8340 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2024, Apr 18, 2019 (2 updates tracked since 2019).

About Hiawatha Harris, M.d., Inc. NPPES

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

HIAWATHA HARRIS, M.D., INC. (NPI 1942420724), doing business as Pathways To Wellness, Medication Clinic, is a healthcare organization registered as a mental health in Oakland, California and active in the NPI registry since April 2007. The organization lists Neisha Becton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942420724
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameHIAWATHA HARRIS, M.D., INC.
Location Address1970 BROADWAY STE 250Oakland, CA 94612-2214
Mailing Address5674 Stoneridge Dr, Suite 207Pleasanton, CA 94588-8500 · (925) 520-0005 · Fax (925) 520-0010
Fax(510) 273-8340
Organization SubpartNo
Authorized OfficialNeisha BectonCeo · (925) 520-0005
Enumeration DateApril 26, 2007
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1942420724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · C22371
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License C22371 (CA)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License C22371 (CA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License C22371 (CA)
1970 BROADWAY STE 250, Oakland, CA 94612

Other Names 1

Doing Business AsPathways To Wellness, Medication Clinic

Other Identifiers 1

Medicaid01AGCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hiawatha Harris, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110805000150Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Hiawatha Harris, M.D., Inc., which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Psychiatry16
Nurse Practitioner8
Neuropsychiatry1

Nearest to this location (20)

See all 25
Nurse Practitioner
NPI 1619155280
2620 26TH AVE
Oakland, CA 94601
(510) 437-2363
✔ PECOS✔ Accepts Medicare2.8 mi
Psychiatry
NPI 1316328982
6366 SUNNYMERE AVE
Oakland, CA 94605
(618) 334-6585
✔ PECOS✔ Accepts Medicare5.7 mi
Psychiatry
NPI 1770525370
90 VAN NESS AVE
San Francisco, CA 94102
(415) 558-5900
✔ PECOS✔ Accepts Medicare8.6 mi
Psychiatry
NPI 1760448054
511 ESTUDILLO AVE
San Leandro, CA 94577
(510) 746-7480
✔ PECOS✔ Accepts Medicare8.6 mi
Psychiatry
NPI 1235297318
2460 MISSION ST #220
Sf, CA 94110
(415) 550-0822
✔ PECOS✔ Accepts Medicare9.0 mi
Psychiatry
NPI 1124079686
2045 FAIRMONT DR
San Leandro, CA 94578
(251) 363-1833
✔ PECOS✔ Accepts Medicare11 mi
Psychiatry
NPI 1831228394
2479 29TH AVE
San Francisco, CA 94116
(310) 428-7022
✔ PECOS✔ Accepts Medicare13 mi
Psychiatry
NPI 1659457075
3100 OAK RD STE 270
Walnut Creek, CA 94597
(925) 944-9711
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1134498884
25 ALLEN ST
Martinez, CA 94553
(925) 951-3678
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1477199420
11501 DUBLIN BLVD STE 200
Dublin, CA 94568
(510) 760-9671
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1316762008
33456 ALVARADO NILES RD
Union City, CA 94587
(510) 675-0600
✔ PECOS✔ Accepts Medicare20 mi
Neuropsychiatry
NPI 1730422502
5776 STONERIDGE MALL RD STE 376
Pleasanton, CA 94588
(925) 272-4100
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1376979237
4695 CHABOT DR STE 200
Pleasanton, CA 94588
(925) 241-0227
✔ PECOS22 mi
Nurse Practitioner
NPI 1942750393
5674 STONERIDGE DR
Pleasanton, CA 94588
(925) 520-0005
✔ PECOS✔ Accepts Medicare22 mi
Psychiatry
NPI 1245278548
5674 STONERIDGE DR STE 116
Pleasanton, CA 94588
(925) 463-5674
✔ PECOS✔ Accepts Medicare22 mi
Psychiatry
NPI 1821484718
1175 SARATOGA AVE STE 14
San Jose, CA 95129
(408) 996-7950
✔ PECOS✔ Accepts Medicare38 mi
Psychiatry
NPI 1619437704
307 ORCHARD CITY DR STE 310
Campbell, CA 95008
(213) 255-5960
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1023524691
1700 STANDIFORD AVE STE 355
Modesto, CA 95350
(855) 501-1004
✔ PECOS✔ Accepts Medicare69 mi
Psychiatry
NPI 1114087533
2550 W CLINTON AVE BLDG W
Fresno, CA 93705
(559) 264-7521
✔ PECOS✔ Accepts Medicare152 mi
Nurse Practitioner
NPI 1487025375
1560 N CRESTMONT DR STE A
Meridian, ID 83642
(208) 650-4888
✔ PECOS✔ Accepts Medicare505 mi
See all 25 clinicians

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

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 Hiawatha Harris, M.D., Inc.'s NPI number?

The NPI number for Hiawatha Harris, M.D., Inc. is 1942420724. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as Pathways To Wellness, Medication Clinic.

Where is Hiawatha Harris, M.D., Inc. located?

Hiawatha Harris, M.D., Inc. is located at 1970 Broadway Ste 250, Oakland, CA 94612. The listed phone number is (510) 273-4200.

What is Hiawatha Harris, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Hiawatha Harris, M.D., Inc. enrolled in Medicare?

Yes. Hiawatha Harris, M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Hiawatha Harris, M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hiawatha Harris, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Hiawatha Harris, M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (16), Nurse Practitioner (8) and Neuropsychiatry (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hiawatha Harris, M.D., Inc. was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.