NPIMap

Organization Active NPI

Pacific Behavioral Health Care

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1003307877
Registry record updated May 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY11772 Issued in CA
Legal business name
PACIFIC BEHAVIORAL HEALTH CARE
Practice address
22 W Mission St Ste C
Santa Barbara, CA 93101-2450
Phone
(805) 687-8021
Fax
(805) 335-8903
NPI assigned
May 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Karin McAuliff
Title
Cfo
Phone
(805) 687-8021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY11772 CA Primary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X PSY11772 CA

Addresses

Primary practice location

22 W Mission St Ste C
Santa Barbara, CA 93101-2450

Mailing address

22 W Mission St Ste C
Santa Barbara, CA 93101-2450
Phone (805) 687-8021

Other identifiers 3

IdentifierTypeStateIssuer
CP117720MedicaidCA
PSY11772OtherCACA. BOARD OF PSYCHOLOGY LICENSE NUMBER
504032OtherCACA PSYCHOLOGICAL ASSOCIATION NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527465600000",
    "number": "1003307877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W MISSION ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012450",
            "telephone_number": "805-687-8021",
            "fax_number": "805-335-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W MISSION ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012450",
            "telephone_number": "805-687-8021",
            "fax_number": "805-335-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BEHAVIORAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-28",
        "last_updated": "2018-05-28",
        "status": "A",
        "authorized_official_last_name": "MCAULIFF",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-687-8021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11772",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY11772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP117720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. BOARD OF PSYCHOLOGY LICENSE NUMBER",
            "identifier": "PSY11772",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PSYCHOLOGICAL ASSOCIATION NUMBER",
            "identifier": "504032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.