Jacqueline Sarah Robertson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF101329 Issued in CA

Practice address

4129 State St
Santa Barbara, CA 93110-1848

Phone

(805) 964-4795

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• California Psychology, Marriage & Family Therapy Inc.

  • Marriage & Family Therapist
  • Santa Barbara, CA
  • NPI 1841029758
  NPD Authorized official

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1093213159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BRAEMAR RANCH LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101848",
            "telephone_number": "805-964-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JACQUELINE",
        "middle_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF101329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wood MD Apc
• Roberta D Sengelmann MD Inc
• Shirley Roberto, CATC111
• Shawn Michael Roberts, PHYSICAL THERAPY
• Cassidy Robertson, AMFT
• Ronald Grant Robertson Jr., DDS
• Sean Andrew Robertson, DDS
• Sherry Robin, MFT
• Jaime Robinett, PA
• Minka Martyn Robinson Stevens, L.AC.

• Marriage & Family Therapist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.