Elisa Antonieta Gottheil

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22753 Issued in CA

Practice address

351 Paseo Nuevo # 2F
Santa Barbara, CA 93101-3382

Phone

(805) 308-4568

Fax

(805) 308-4568

NPI assigned

Dec 7, 2006

Last updated

Oct 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Barbara Health Psychology Inc.

  • Clinic/Center
  • Santa Barbara, CA
  • NPI 1083200547

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1427117274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 LAS OLAS AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931092114",
            "telephone_number": "805-308-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PASEO NUEVO # 2F",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013382",
            "telephone_number": "805-308-4568",
            "fax_number": "805-308-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2034 De La Vina St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931053814",
            "country_code": "US",
            "telephone_number": "805-884-6883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTHEIL",
        "first_name": "ELISA",
        "middle_name": "ANTONIETA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE BY BOP",
            "identifier": "PSY22753",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Gore, MA, LMFT
• Linda J Gorin, M.D.
• Zachary Scott Gossett
• Terry Gostow
• Andrew W. Gotelli, DDS
• Nancy Gottlieb, MFT
• Rose Nichole Goulart
• Rea C Goumas, M.D.
• Govinda Bader Marriage and Family Therapy & Coaching Inc
• Laura Gowdy, M.A. CCC/SP-L

• Clinical Psychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.