ETHAN GEOFFREY HARRIS M.D.
NPI 1124011689
Psychiatry & Neurology - Psychiatry in Vacaville, CA
NPI Status: Active since August 30, 2005
Contact Information
1119 E MONTE VISTA AVE
VACAVILLE, CA
ZIP 95688
Phone: (707) 469-4610
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
About ETHAN HARRIS
This page provides the complete NPI Profile along with additional information for Ethan Harris, a provider established in Vacaville, California with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1124011689 assigned on August 2005. The practitioner's primary taxonomy code is 2084P0800X with license number G18727 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1124011689
- Provider Name
- ETHAN GEOFFREY HARRIS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1119 E MONTE VISTA AVE VACAVILLE, CA 95688
- Location Phone
- (707) 469-4610
- Mailing Address
- PO BOX 999 13437 ANTELOPE TRAIL OREGON HOUSE, CA 95962
- Mailing Phone
- (530) 692-0802
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-30-2005
- Last Update Date
- 10-07-2021
- Code Navigator
A psychiatrist like Ethan Harris are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Secondary Locations
- 720 Howe Ave Ste 110
Sacramento, CA 95825
(916) 923-0440
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G18727
- License State
- CA
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Medicare Participation & PECOS Enrollment Status
Ethan Harris is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Psychiatric diagnostic evaluation with medical services
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 122 times for 56 patientsA psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
This service was performed 12 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95688 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $191.95
- Minimum New Patient Price $65.02
- Maximum New Patient Price $191.95
- Average New Patient Copayment $47.98
- Minimum New Patient Copayment $16.25
- Maximum New Patient Copayment $47.98
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $80.24
- Minimum Established Patient Price $21.86
- Maximum Established Patient Price $157.69
- Average Established Patient Copayment $20.06
- Minimum Established Patient Copayment $5.46
- Maximum Established Patient Copayment $39.42
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 1 | 1 | 6 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 1 | 2 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 1 + 2 + 6 + 1 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1124011689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245536945 | MR. MIKE VAN HUYNH N.P. Individual | Nurse Practitioner (Family) | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4640 |
| 1194760025 | GAIL D FEINBERG DO Individual | Family Medicine | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4640 |
| 1528500584 | CELIA MARIA SANCHEZ Individual | Community Health Worker | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4610 |
| 1366626376 | MRS. ZOSIMA B INTON MSN, FNP-C, RN Individual | Nurse Practitioner (Family) | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4640 |
| 1932446598 | HANNAH CROWL NP Individual | Nurse Practitioner | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4540 |
| 1114121308 | JOY ELIZABETH MURAKI CASTREJON LCSW Individual | Social Worker (Clinical) | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4540 |
| 1801906193 | MR. BRENT JEFFERY BATTY LMFT Individual | Marriage & Family Therapist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4650 |
| 1811057839 | MICHAEL S KITZES LMFT Individual | Marriage & Family Therapist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4540 |
| 1124494646 | DR. WILLIAM ROGER DAVIS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4610 |
| 1396819561 | DR. NANELLE LAVINIA JONES-SULLIVAN M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4540 |
| 1275694515 | GREGORY MICHAEL LIPPINCOTT MFT Individual | Marriage & Family Therapist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4606 |
| 1265741003 | VICKIE WILLIAMS Individual | Marriage & Family Therapist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4605 |
| 1205867892 | DR. ALESIA JOY WAGNER-LARGENT D.O. Individual | Family Medicine | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4640 |
| 1033374715 | CONRAD FREDERIC SCHOENWALD DO Individual | Family Medicine | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4640 |
| 1700946035 | NICOLE MICHELE LUCCHESI Individual | Marriage & Family Therapist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4610 |
| 1609360882 | THARA NAZARETH MD Individual | Psychiatry & Neurology (Psychiatry) | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4610 |
| 1861545170 | DR. REZA RAJABIAN D.D.S. Individual | Dentist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4670 |
| 1952899544 | SARA LAUREN VAN CUREN AMFT Individual | Marriage & Family Therapist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4540 |
| 1104488592 | DENISE COLEMAN Individual | Peer Specialist | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4610 |
| 1487203618 | JUAN TINOCO Individual | Case Manager/Care Coordinator | 1119 E MONTE VISTA AVE VACAVILLE, CA 95688 (707) 469-4611 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124011689, enumerated in the NPI registry as an "individual" on August 30, 2005
The provider is located at 1119 E Monte Vista Ave Vacaville, Ca 95688 and the phone number is (707) 469-4610
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $191.95 with an average copayment of $47.98 for new patient appointments. Established patients should expect a typical charge of $80.24 and an average copayment of 20.06. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and Psychiatric diagnostic evaluation with medical services.
This NPI record was last updated on August 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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