Active NPI
Ana Cabezas, PSY.D.
- Psychologist
- San Luis Obispo, CA
National Provider Identifier
1710626734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY26021
- Practice address
- 1530 Monterey St Ste a
San Luis Obispo, CA 93401-2969 - Phone
- (407) 403-3797
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY26021 | CA | Primary |
Addresses
Primary practice location
1530 Monterey St Ste a
San Luis Obispo, CA 93401-2969
Mailing address
2445 Beach St Apt 3
Oceano, CA 93445-8968
Phone (805) 242-6797
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26021 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1710626734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 BEACH ST APT 3",
"city": "OCEANO",
"state": "CA",
"postal_code": "934458968",
"telephone_number": "805-242-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 MONTEREY ST STE A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012969",
"telephone_number": "407-403-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABEZAS",
"first_name": "ANA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.