Individual provider Active NPI

Serena Cyr, PSY.D.

  • Clinical Psychologist
  • Santa Barbara, CA
National Provider Identifier
1053517714
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY32835 Issued in CA
Practice address
1221 State St Ste 12
Santa Barbara, CA 93101-2699
Phone
(831) 247-8278
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY32835 CA Primary

Addresses

Primary practice location

1221 State St Ste 12
Santa Barbara, CA 93101-2699

Mailing address

486 Braemar Ranch LN
Santa Barbara, CA 93109-1061
Phone (831) 247-8278

Other practice location 1

429 N San Antonio Rd
Santa Barbara, CA 93110-1399
Phone (805) 884-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY32835CAMDClinical Psychologist
32835CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Department of Behavioral Wellness CurrentSince Sep 21, 2024 Accepting new patients
Santa Barbara County County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Sep 21, 2024 Accepting new patients
Santa Barbara County Department of Behavioral Wellness PastSince Sep 29, 2024 Accepting new patients

Locations

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

315 Camino del Remedio
Ste 258
Santa Barbara, CA 93110
Phone (626) 989-3321

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1053517714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 BRAEMAR RANCH LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091061",
            "telephone_number": "831-247-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 STATE ST STE 12",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012699",
            "telephone_number": "831-247-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 N San Antonio Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931101399",
            "country_code": "US",
            "telephone_number": "805-884-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CYR",
        "first_name": "SERENA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.