Diane Douglas Eardley, PHD IN CLINICAL PSYC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSB94024909 Issued in CA

Practice address

324 E Carrillo St Ste C
Santa Barbara, CA 93101-7439

Phone

(805) 963-7777

NPI assigned

May 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Carrillo Counseling Services, Inc

  • Clinical Psychologist
  • Santa Barbara, CA
  • NPI 1225338023
  NPD (past)
• NBCC

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1861879504
  NPD (past)

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1396319299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E CARRILLO ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017439",
            "telephone_number": "805-705-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E CARRILLO ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017439",
            "telephone_number": "805-963-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARDLEY",
        "first_name": "DIANE",
        "middle_name": "DOUGLAS",
        "credential": "PHD IN CLINICAL PSYC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSB94024909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sbnbcc.org/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Santa Barbara",
            "address_1": "324 E Carrillo St Ste C",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931017439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sbnbcc.org/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "324 E Carrillo St Ste C",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931017439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sbnbcc.org/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "324 E Carrillo St Ste C",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931017439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sbnbcc.org/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "324 E Carrillo St Ste C",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931017439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laurence Ronald Dworet, M.D.
• Zeb Dyer, P.A.
• Godfrey David Dyne, M.D.
• David Eagle, AMFT
• Marie Gabrielle Lanorias Eamiguel, RDN
• James Allen Earhart Jr.
• Lynne Marie Early
• Terrence S Early, MD
• Jimmi Anne Earnest
• Traile Phyllis Easland, RN

• Mental Health Counselor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.