NPIMap

Organization Active NPI

SB Cty Dept of Behavioral Wellness

Doing business as North County Crisis Services

  • Adult Mental Health Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1669654166
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SB CTY DEPT OF BEHAVIORAL WELLNESS
Doing business as
North County Crisis Services
Practice address
212 Carmen LN
Santa Maria, CA 93458-7769
Phone
(805) 739-8700
NPI assigned
Nov 27, 2007
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SB CTY DEPT OF BEHAVIORAL WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Tammy Casiano, LMFT
Title
QCM Designee/Coordinator
Phone
(805) 325-5905

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adult Mental Health Clinic/Center 261QM0850X CA Primary
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 1

  • North County Crisis Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Part of
Physicians Medical Group

Locations

212 Carmen Ln
Santa Maria, CA 93458
Phone (805) 212-7680

Practitioners & affiliated clinicians

Practitioners 9

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1669654166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 HOLLISTER AVE BLDG 14",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112389",
            "telephone_number": "805-934-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769",
            "telephone_number": "805-739-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB CTY DEPT OF BEHAVIORAL WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SB CTY DEPT OF BEHAVIORAL WELLNESS",
        "enumeration_date": "2007-11-27",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "CASIANO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "QCM DESIGNEE/COORDINATOR",
        "authorized_official_telephone_number": "805-325-5905",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Crisis Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.