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DEIRDRE HELENE FOGARTY-HARRIS AMFT
NPI 1992289243
Counselor - Mental Health in Rio Vista, CA

Active since September 22, 2018PECOS EnrolledAccepts Medicare Assignment
628 MONTEZUMA ST, RIO VISTA, CA 94571(707) 374-5243 Get Directions Write a Review

NPPES record last updated: September 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deirdre Helene Fogarty-harris Amft NPPES

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

DEIRDRE HELENE FOGARTY-HARRIS AMFT (NPI 1992289243) is an individual mental health provider in Rio Vista, California, licensed in California (IMF97375) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1992289243
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEIRDRE HELENE FOGARTY-HARRISCredential: AMFT
Location Address628 MONTEZUMA STRio Vista, CA 94571-1622
Mailing Address8 Commodore Dr Unit 253Emeryville, CA 94608-1618 · (415) 577-1147
Phone(707) 374-5243
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2018
✔ NPI 1992289243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · IMF97375
628 MONTEZUMA ST, Rio Vista, CA 94571
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deirdre Helene Fogarty-harris Amft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466992706
PECOS Enrollment IDI20240912002894
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 Deirdre Fogarty-harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
24 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 16

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

SHONI A MORRIS
Marriage & Family Therapist
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5243
RIO VISTA CARE, INC.
Community/Behavioral Health
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5243
TERRY LOUIS THOMAS AMFT
Marriage & Family Therapist
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5243
MALORIE JAMELIA BRANCH
Social Worker
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5243
MIKE HUSSEINI
Student in an Organized Health Care Education/Training Program
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5243
MICHELE BURNS
Counselor (Professional)
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5243
MRS. SOPHIE PACHECO TRAINEE
Counselor (Addiction (Substance Use Disorder))
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5003
HILLARY JANE LUDWIG M.A.
Counselor (Mental Health)
628 MONTEZUMA ST
RIO VISTA, CA 94571
Solano County (707) 374-5243

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 Deirdre Fogarty-harris's NPI number?

The NPI number for Deirdre Fogarty-harris is 1992289243. It was assigned to this individual provider in the NPPES registry on September 22, 2018.

Where is Deirdre Fogarty-harris located?

Deirdre Fogarty-harris practices at 628 Montezuma St, Rio Vista, CA 94571. The listed phone number is (707) 374-5243.

What is Deirdre Fogarty-harris's specialty?

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

Is Deirdre Fogarty-harris enrolled in Medicare?

Yes. Deirdre Fogarty-harris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Deirdre Fogarty-harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deirdre Fogarty-harris reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Deirdre Fogarty-harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deirdre Fogarty-harris was last updated on September 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.