Individual provider Active NPI

Amber Patronyk

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1174088124
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
140251 Issued in CA
Practice address
1114 State St Ste 306
Santa Barbara, CA 93101-2740
Phone
(805) 837-4958
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 140251 CA Primary

Addresses

Primary practice location

1114 State St Ste 306
Santa Barbara, CA 93101-2740

Mailing address

1114 State St Ste 306
Santa Barbara, CA 93101-2740
Phone (805) 837-4958

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

State licenses

LicenseStateTypeSpecialty
140251CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manzanita, a Marriage and Family Therapy Corporation Mental Health CurrentSince Apr 9, 2024 Accepting new patients

Locations

1114 State St
Ste 306
Santa Barbara, CA 93101
Phone (805) 837-4958

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1174088124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 STATE ST STE 306",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012740",
            "telephone_number": "805-837-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 STATE ST STE 306",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012740",
            "telephone_number": "805-837-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRONYK",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140251",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 4, 2024; 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.