Individual provider Active NPI

Mikhail Meyerovich, MD

  • Psychiatry Physician
  • Santa Barbara, CA
National Provider Identifier
1073506952
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A75992 Issued in CA
Practice address
5662 Calle Real
#472
Santa Barbara, CA 93117-2317
Phone
(805) 284-6205
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A75992 CA
Psychiatry Physician 2084P0800X A75992 CA Primary

Addresses

Primary practice location

5662 Calle Real
#472
Santa Barbara, CA 93117-2317

Mailing address

5662 Calle Real
#472
Santa Barbara, CA 93117-2317
Phone (805) 284-6205

Other identifiers 1

IdentifierTypeStateIssuer
A75992OtherCAPTAN

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000299 CA Practitioner - PsychiatryPractitioner - Family Practice 1052386620 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Family Practice
Education
University of California, Davis School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

320 W Pueblo St
SBCH Dept of Psychiatry
Santa Barbara, CA 93105-4311
Phone (805) 284-6205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75992CAMDMarriage & Family Therapist
A75992CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Behavioral Health, a Psychological Corporation Psychiatry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sbbh.mikhailmeyerovich@144896.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1073506952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5662 CALLE REAL",
            "address_2": "#472",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931172317",
            "telephone_number": "805-284-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5662 CALLE REAL",
            "address_2": "#472",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931172317",
            "telephone_number": "805-284-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYEROVICH",
        "first_name": "MIKHAIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75992",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A75992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A75992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.