Individual provider Active NPI

Michael I Beiley, PH.D.

  • Clinical Psychologist
  • Santa Barbara, CA
National Provider Identifier
1194801340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7928 Issued in CA
Practice address
115 W Arrellaga St
Santa Barbara, CA 93101-2978
Phone
(805) 962-2869
Fax
(805) 962-2408
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7928 CA Primary

Addresses

Primary practice location

115 W Arrellaga St
Santa Barbara, CA 93101-2978

Mailing address

115 W Arrellaga St
Santa Barbara, CA 93101-2978
Phone (805) 962-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 7, 2022 through Jul 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7928CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194801340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W ARRELLAGA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012978",
            "telephone_number": "805-962-2869",
            "fax_number": "805-962-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W ARRELLAGA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012978",
            "telephone_number": "805-962-2869",
            "fax_number": "805-962-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEILEY",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.