NPIMap

Organization Active NPI

Saucedo FCC

  • Mental Health Counselor
  • Santa Maria, CA
National Provider Identifier
1154849743
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAUCEDO FCC
Practice address
1510 Lark St
Santa Maria, CA 93454-7264
Phone
(805) 862-4328
NPI assigned
Sep 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY ACTION COMMSSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Laurel Scott, PSY.D., LMFT
Title
Clinical Services Director
Phone
(805) 260-4676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1510 Lark St
Santa Maria, CA 93454-7264

Mailing address

1510 Lark St
Santa Maria, CA 93454-7264
Phone (805) 862-4328

Other identifiers 1

IdentifierTypeStateIssuer
1306048905MedicaidCA

Other names 1

  • Maria Saucedo Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Action Commission of Santa Barbara County39 organizations share this tax ID, including this one
Part of
Community Action Commission of Santa Barbara County

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1504310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154849743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 LARK ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547264",
            "telephone_number": "805-862-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 LARK ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547264",
            "telephone_number": "805-862-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUCEDO FCC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACTION COMMSSION",
        "enumeration_date": "2017-09-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "805-260-4676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306048905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria Saucedo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.