Individual provider Active NPI

Ioana Blanca Cebulla, PHD CLINICAL PSYCH.

  • Psychologist
  • Santa Maria, CA
National Provider Identifier
1235445420
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1550 E Main St
Santa Maria, CA 93454-4819
Phone
(805) 354-6024
NPI assigned
Aug 25, 2010
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1550 E Main St
Santa Maria, CA 93454-4819

Mailing address

320 Country Club Dr
San Luis Obispo, CA 93401-8922
Phone (805) 543-1636

Other names 1

  • Ms. Ioana Blanca Barsan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 10, 2019 through Dec 10, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1235445420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 COUNTRY CLUB DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018922",
            "telephone_number": "805-543-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544819",
            "telephone_number": "805-354-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBULLA",
        "first_name": "IOANA",
        "middle_name": "BLANCA",
        "name_prefix": "Dr.",
        "credential": "PHD CLINICAL PSYCH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IOANA",
            "last_name": "BARSAN",
            "middle_name": "BLANCA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.