Active NPI
Elizabeth S Alden, PH.D.
- Psychologist
- Santa Barbara, CA
National Provider Identifier
1306837067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY9681
- Practice address
- 22 W Micheltorena St
Suite D
Santa Barbara, CA 93101-6522 - Phone
- (805) 564-3715
- Fax
- (805) 688-6570
- NPI assigned
- Nov 2, 2005
- Last updated
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY9681 | CA | Primary |
Addresses
Primary practice location
22 W Micheltorena St
Suite D
Santa Barbara, CA 93101-6522
Mailing address
22 W Micheltorena St
Suite D
Santa Barbara, CA 93101-6522
Phone (805) 564-3715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104000336 | CA | Practitioner - Psychologist Billing Independently | 3577757400 | Practice locations: Santa Barbara, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Nebraska College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
22 W Micheltorena St D
Santa Barbara, CA 93101-6523
Phone (805) 864-3715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9681 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1306837067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 W MICHELTORENA ST",
"address_2": "SUITE D",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931016522",
"telephone_number": "805-564-3715",
"fax_number": "805-688-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 W MICHELTORENA ST",
"address_2": "SUITE D",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931016522",
"telephone_number": "805-564-3715",
"fax_number": "805-688-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDEN",
"first_name": "ELIZABETH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY9681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
- Alcohol Drug and Mental Health Services, Santa Barbara County
- Alcohol, Drug & Mental Health Services
- Alcohol,Drugs and Mental Health (Alcohol,Drugs and Mental Health Services)
- Gabriela Aldama, LICENSED PSYCHIATRIC
- Jim Aldecoa, RPH
- Natalie Beth Alderson, MACP, LMFT
- Kara Tamar Aldrich, D.C.
- Michael Edward Aldridge, M.D.
- Amit Alexander-Nathani, MD
- Elizabeth Rose Alexander, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.