Organization Active NPI

The Lotus Collaborative, Inc., a Psychology Clinic

  • Clinical Psychologist
  • Santa Cruz, CA
National Provider Identifier
1407120579
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24204 Issued in CA
Legal business name
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Practice address
2125 Delaware Ave Ste a
Santa Cruz, CA 95060-5752
Phone
(831) 588-0497
Fax
(831) 600-7499
NPI assigned
Mar 6, 2012
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Dr. Elizabeth Esalen, PSYDNPI 1225329253
Title
Executive Director
Phone
(831) 600-7103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY24204 CA Primary

Addresses

Primary practice location

2125 Delaware Ave Ste a
Santa Cruz, CA 95060-5752

Mailing address

2125 Delaware Ave Ste a
Santa Cruz, CA 95060-5752
Phone (831) 588-0497

Other identifiers 1

IdentifierTypeStateIssuer
1225329253OtherCANPI

National Provider Directory

National Provider Directory
Tax ID family
The Lotus Collaborative Inc a Psychology Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2125 Delaware Ave
Ste A
Santa Cruz, CA 95060
Phone (831) 588-0497

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1407120579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 DELAWARE AVE STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605752",
            "telephone_number": "831-588-0497",
            "fax_number": "831-600-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 DELAWARE AVE STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605752",
            "telephone_number": "831-588-0497",
            "fax_number": "831-600-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "ESALEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-600-7103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225329253",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.