Pacific Composure Psychiatry & Hypnotherapy

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G067502 Issued in CA

Legal business name

PACIFIC COMPOSURE PSYCHIATRY & HYPNOTHERAPY

Practice address

180 7TH Ave Ste 103
Santa Cruz, CA 95062-4732

Phone

(831) 334-0530

NPI assigned

Feb 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Karen Y Kirby, M.D.

Title

Ceo/President, Director

Phone

(831) 334-0530

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1710127964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960B SOQUEL DR # 419",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 7TH AVE STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624732",
            "telephone_number": "831-334-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COMPOSURE PSYCHIATRY & HYPNOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-28",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO/PRESIDENT, DIRECTOR",
        "authorized_official_telephone_number": "831-334-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G067502",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "G067502",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "G067502",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "G067502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ignacio Francisco Pacheco, LCSW
• Juan Pacheco
• Sydne Jordan Pacheco
• Vera P Paci Sanchez
• Pacific Collegiate School
• Pacific Ketamine and Wellness, a Professional Nursing Corporation
• Audra Desiree Packard
• Shanthi Sudha Padala
• Melinda Carol Padgett, PA
• Carlos D Padilla, M.S.

• Psychiatry Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.