Healthcare Provider Details

I. General information

NPI: 1124386875
Provider Name (Legal Business Name): ARI L HARRIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2012
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 HARVARD ST STE 210
SACRAMENTO CA
95815-3318
US

IV. Provider business mailing address

2180 HARVARD ST STE 210
SACRAMENTO CA
95815-3318
US

V. Phone/Fax

Practice location:
  • Phone: 855-427-2778
  • Fax: 916-567-3501
Mailing address:
  • Phone: 855-427-2778
  • Fax: 916-567-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD-21909-0
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA174168
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: