Neurobehavioral Health - a Psychological Corporation

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY26321 Issued in CA

Legal business name

NEUROBEHAVIORAL HEALTH - A PSYCHOLOGICAL CORPORATION

Practice address

5266 Hollister Ave Ste 212
Santa Barbara, CA 93111-4041

Phone

(805) 451-1463

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. James Fortman, PSYDNPI 1306256029

Title

President

Phone

(805) 451-1463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Alexander Fortman, PSYD

  • Clinical Neuropsychologist
  • Santa Barbara, CA
  • NPI 1306256029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536364800000",
    "number": "1124430038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 212",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931114041",
            "telephone_number": "805-451-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 212",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931114041",
            "telephone_number": "805-451-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL HEALTH - A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2018-09-08",
        "status": "A",
        "authorized_official_last_name": "FORTMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-451-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY26321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Nelson
• Hailey Cierra Nesbit
• Ronnie Netz
• Alan Lee Neuenschwander, D.D.S.
• Neuro-Aligned Speech Therapy by Chasity Roberts, Inc.
• Neurological Surgery of Santa (Neurological Surgery of Santa Barbara)
• Neurology Associates of Santa Barbara
• Neurosurgical Assc Santa Barbara
• Cathy Neushul, PT
• Rosalinda Nevarez, AMFT 109443

• Clinical Neuropsychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.