Active NPI
Stanley Passy, PH.D.
- Clinical Psychologist
- Montecito, CA
National Provider Identifier
1124196399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 12398
- Practice address
- 212 Alston Rd
Montecito, CA 93108-1805 - Phone
- (805) 961-2022
- Fax
- (805) 565-3000
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 12398 | CA | MD | Clinical Psychologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 12398 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
212 Alston Rd
Montecito, CA 93108-1805
Mailing address
PO Box 42133
Santa Barbara, CA 93140-2133
Phone (805) 961-2022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124196399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42133",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931402133",
"telephone_number": "805-961-2022",
"fax_number": "805-565-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 ALSTON RD",
"city": "MONTECITO",
"state": "CA",
"postal_code": "931081805",
"telephone_number": "805-961-2022",
"fax_number": "805-565-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSY",
"first_name": "STANLEY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 12398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montecito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.