Active NPI
Lisa Gabrielle Cosentino, PH.D.
- Clinical Psychologist
- Santa Barbara, CA
National Provider Identifier
1104839653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 10864
- Practice address
- 510 E Sola St
Santa Barbara, CA 93103-2211 - Phone
- (805) 564-1999
- Fax
- (805) 568-0693
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 10864 | CA | Primary |
Addresses
Primary practice location
510 E Sola St
Santa Barbara, CA 93103-2211
Mailing address
510 E Sola St
Santa Barbara, CA 93103-2211
Phone (805) 564-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY108640 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120130000599 | CA | Practitioner - Psychologist Billing Independently | 5991962268 | Practice locations: Santa Barbara, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
510 E Sola St
Santa Barbara, CA 93103-2211
Phone (805) 564-1999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 10864 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1104839653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E SOLA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931032211",
"telephone_number": "805-564-1999",
"fax_number": "805-568-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E SOLA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931032211",
"telephone_number": "805-564-1999",
"fax_number": "805-568-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENTINO",
"first_name": "LISA",
"middle_name": "GABRIELLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 10864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY108640",
"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 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.