The Phoenix House of Santa Barbara, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE PHOENIX HOUSE OF SANTA BARBARA, INC.

Practice address

107 E Micheltorena St
Santa Barbara, CA 93101

Phone

(805) 965-6787

Fax

(805) 965-3797

NPI assigned

Jun 10, 2013

Organization subpart

No

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

Authorized official

Name

Ava Polan

Title

Executive Director

Phone

(805) 965-3434

Specialties & licenses 1

Addresses

Other names 1

• Phoenix House Other name

Tax ID family

The Phoenix of Santa Barbara Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• The Phoenix of Santa Barbara

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1225454945
  NPD tax ID
• The Phoenix of Santa Barbara, Inc

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1023195146
  NPD tax ID
• The Phoenix of Santa Barbara, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Barbara, CA
  • NPI 1225106883
  NPD tax ID
• The Phoenix of Santa Barbara, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Barbara, CA
  • NPI 1447692181
  NPD tax ID

Locations

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1104264381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MICHELTORENA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011905",
            "telephone_number": "805-965-6786",
            "fax_number": "805-965-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MICHELTORENA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-965-6787",
            "fax_number": "805-965-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX HOUSE OF SANTA BARBARA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "POLAN",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-965-3434"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Eading Disorder Center of Santa Barbara, LLC
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• The Mountford Marriage and Family Therapy Group Corp
• The Openminds Foundation
• The Phoenix of Santa Barbara
• The Phoenix of Santa Barbara, Inc
• The Phoenix of Santa Barbara, Inc
• The Phoenix of Santa Barbara, Inc.
• The Physio Room - a Physical Therapy Corporation

• Mental Illness Community Based Residential Treatment Facility in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.