SB Cty Dept of Behavioral Wellness
Organization Active NPI Adult Mental Health Clinic/Center · Santa Maria, CA
NPI 1669654166 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1669654166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- SB CTY DEPT OF BEHAVIORAL WELLNESS
- Practice address
- 212 Carmen LN
Santa Maria, CA 93458-7769 - Phone
- (805) 739-8700
- NPI assigned
- Nov 27, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- SB CTY DEPT OF BEHAVIORAL WELLNESS
Authorized official
- Name
- Tammy Casiano, LMFT
- Title
- QCM Designee/Coordinator
- Phone
- (805) 325-5905
Other NPIs on the same Medicare enrollment 15
Practitioners 9
-
Garrett Timothy Bakke, LCSW 119469
-
Geeta Goodwin, NP
-
Diana Christina Granados, M.A.
-
Thadeus B Koontz, MD
-
Lucy Mora Quesada, LMFT
-
Stephen Clay Williams, M.D.
-
Nayyer Iqbal, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081226000157 | CA | Part B Supplier - Clinic/Group Practice | 9335052083 |
Receives reassigned benefits from 99 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Santa Maria, CA; Santa Barbara, CA; Carpinteria, CA; Goleta, CA; Lompoc, CA |
National Provider Directory
- Part of
- Community Health Clinic
Locations
212 Carmen Ln
Santa Maria, CA 93458
Phone (805) 212-7680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | CA | Yes | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CA |
Addresses
Primary practice location
212 Carmen LN
Santa Maria, CA 93458-7769
Mailing address
5385 Hollister Ave BLDG 14
Santa Barbara, CA 93111-2389
Phone (805) 934-6344
Other names
- North County Crisis Services
Other providers in Santa Maria, CA
- Jennifer Jean Saucerman-Salinas
- Kelsey L Saul
- Adriana Renae Savey
- Sawant Inc
- Amy Sawyer
- SB Cty Dept of Behavioral Wellness
- Michael James Scarpiello
- Joey Diane Schaffer
- Rachelle Schaller
- Cheryl Lynn Schlesinger
All providers in Santa Maria, CA · Adult Mental Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.