NPIMap

Organization Active NPI

Holdsambeck and Associates, Inc.

Doing business as Holdsambeck Behavioral Health

  • Community/Behavioral Health Agency
  • Santa Maria, CA
National Provider Identifier
1073817474
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLDSAMBECK AND ASSOCIATES, INC.
Doing business as
Holdsambeck Behavioral Health
Practice address
2342 Professional Parkway Suite 300
Santa Maria, CA 93455
Phone
(805) 979-9941
Fax
(805) 222-3041
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Ms. Dominique L Delgado
Title
Chief Operating Officer
Phone
(805) 979-9941

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Assistant Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106E00000X
Community/Behavioral Health Agency 251S00000X 10120 CA PSYCH CA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2342 Professional Parkway Suite 300
Santa Maria, CA 93455

Mailing address

2342 Professional Parkway Suite 300
Santa Maria, CA 93455
Phone (805) 979-9941

Other names 1

  • Holdsambeck Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Achieve Behavior Change3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2342 Professional Pkwy
Ste 300
Santa Maria, CA 93455
Phone (949) 232-2321

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1073817474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PARKWAY SUITE 300",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-979-9941",
            "fax_number": "805-222-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PARKWAY SUITE 300",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-979-9941",
            "fax_number": "805-222-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDSAMBECK AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "805-979-9941",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "10120 CA PSYCH",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holdsambeck Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.