Active NPI
Joan Sandberg, PSYCHOLOGIST
- Psychologist
- Santa Barbara, CA
National Provider Identifier
1043435977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY12425
- Practice address
- 3017 Serena Rd
Santa Barbara, CA 93105-3325 - Phone
- (805) 238-9811
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12425 | CA | Primary |
Addresses
Primary practice location
3017 Serena Rd
Santa Barbara, CA 93105-3325
Mailing address
3017 Serena Rd
Santa Barbara, CA 93105-3325
Phone (805) 238-9811
Other names 1
- Joan S Sandberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060117001152 | CA | Practitioner - Clinical Psychologist | 2769406768 | Practice locations: Santa Barbara, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3017 Serena Rd
Santa Barbara, CA 93105-3325
Phone (805) 238-9811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12425 | CA | MD | Psychologist |
| 12425 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara Behavioral Health, a Psychological Corporation | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Goleta, CA
- NPI 1528182573
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1043435977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 SERENA RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053325",
"telephone_number": "805-238-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 SERENA RD",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053325",
"telephone_number": "805-238-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "JOAN",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY12425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "SANDBERG",
"middle_name": "S",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Barbara, CA
- Sunaik Alejandrina Sanchez, M.S., CCC-SLP
- Sanctuary Centers of Santa Barbara Inc.
- Sanctuary Centers of Santa Barbara Inc.
- Sanctuary Centers of Santa Barbara Inc.
- Sanctuary Centers of Santa Barbara Inc.
- Edward Michael Sanders, CAS
- Mitchell Sanders
- Rebecca Sandhu, PSYD
- Karl J Sandin, M.D.
- Adelina Irene Sandoval, MSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.