Organization Active NPI

Family Therapy Institute of Santa Barbara

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1013274646
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PL 6727 Issued in CA
Legal business name
FAMILY THERAPY INSTITUTE OF SANTA BARBARA
Practice address
111 E Arrellaga St
Santa Barbara, CA 93101-1903
Phone
(805) 882-2400
Fax
(805) 882-2422
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Don R. Macmannis, PH.D., PSY.
Title
Clinical Director/Psychologist
Phone
(805) 882-2400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PL 6727 CA Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LR 9847 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X PL 6727 CA

Addresses

Primary practice location

111 E Arrellaga St
Santa Barbara, CA 93101-1903

Mailing address

111 E Arrellaga St
Santa Barbara, CA 93101-1903
Phone (805) 882-2400

National Provider Directory

National Provider Directory

Locations

2900 Nojoqui Ave
#D
Los Olivos, CA 93441
Phone (805) 688-6549

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1013274646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E ARRELLAGA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011903",
            "telephone_number": "805-882-2400",
            "fax_number": "805-882-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E ARRELLAGA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011903",
            "telephone_number": "805-882-2400",
            "fax_number": "805-882-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY INSTITUTE OF SANTA BARBARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MACMANNIS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL  DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-882-2400",
        "authorized_official_credential": "PH.D., PSY."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PL 6727",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LR 9847",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "PL 6727",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 26, 2012; 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.