Organization Active NPI

The Phoenix of Santa Barbara

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
National Provider Identifier
1225454945
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE PHOENIX OF SANTA BARBARA
Doing business as
Crescend Health - Dual Diagnosis
Practice address
110 La Paz
Santa Barbara, CA 93101
Phone
(805) 965-3434
Fax
(805) 965-3797
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mr. John Turner, MFT
Title
Executive Director
Phone
(805) 965-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

110 La Paz
Santa Barbara, CA 93101

Mailing address

107 E Micheltorena St
Santa Barbara, CA 93101-1905
Phone (805) 965-3434

Other identifiers 1

IdentifierTypeStateIssuer
424275000MedicaidCA

Other names 1

  • Crescend Health - Dual Diagnosis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Phoenix of Santa Barbara Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1225454945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MICHELTORENA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011905",
            "telephone_number": "805-965-3434",
            "fax_number": "805-965-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LA PAZ",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-965-3434",
            "fax_number": "805-965-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX OF SANTA BARBARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-965-3434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424275000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescend Health - Dual Diagnosis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 12, 2016; 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.