NPIMap

Organization Active NPI

Santa Barbara County Department of Behavioral Wellness

Doing business as North County Forensic and Homeless Services

  • Adult Mental Health Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1114565900
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Doing business as
North County Forensic and Homeless Services
Practice address
222 Carmen LN Ste 104
Santa Maria, CA 93458-7776
Phone
(805) 554-3002
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Stephanie Diaz, MA
Title
Quality Care Management
Phone
(805) 934-6344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

222 Carmen LN Ste 104
Santa Maria, CA 93458-7776

Mailing address

5385 Hollister Ave BLDG 14
Santa Barbara, CA 93111-2389

Other names 1

  • North County Forensic and Homeless Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081226000157 CA Part B Supplier - Clinic/Group Practice 9335052083 Receives reassigned benefits from 99 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Maria, CA; Santa Barbara, CA; Carpinteria, CA; Goleta, CA; Lompoc, CA

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Physicians' Medical Group150 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1114565900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 HOLLISTER AVE BLDG 14",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CARMEN LN STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587776",
            "telephone_number": "805-554-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "QUALITY CARE MANAGEMENT",
        "authorized_official_telephone_number": "805-934-6344",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Forensic and Homeless Services",
            "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 Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.