Individual provider Active NPI

William Lacey-Bisetty, PHD

  • Clinical Neuropsychologist
  • Santa Barbara, CA
National Provider Identifier
1588400360
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY342236 Issued in CA
Practice address
3890 La Cumbre Plaza LN
Santa Barbara, CA 93105-3122
Phone
(248) 996-5518
NPI assigned
Jul 2, 2024
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY342236 CA Primary

Addresses

Primary practice location

3890 La Cumbre Plaza LN
Santa Barbara, CA 93105-3122

Mailing address

3890 La Cumbre Plaza LN
Santa Barbara, CA 93105-3122
Phone (248) 996-5518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY342236CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Connection PastSince Jul 7, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1588400360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 LA CUMBRE PLAZA LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053122",
            "telephone_number": "248-996-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 LA CUMBRE PLAZA LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053122",
            "telephone_number": "248-996-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY-BISETTY",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY342236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.