Active NPI
Mikhail Meyerovich, MD
- Psychiatry Physician
- Santa Barbara, CA
National Provider Identifier
1073506952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A75992
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A75992 | Other | CA | PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040827000299 | CA | Practitioner - Psychiatry | 1052386620 | Practice locations: Santa Barbara, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 75992 | CA | MD | Marriage & Family Therapist |
| A75992 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara Behavioral Health, a Psychological Corporation | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychiatry Physician
- Goleta, CA
- NPI 1528182573
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.