Organization Active NPI

University of California Santa Barbara

  • Clinical Psychologist
  • Santa Barbara, CA
National Provider Identifier
1730454653
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24597 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA SANTA BARBARA
Practice address
Koegel Autism Center Ggse Ucsb
Santa Barbara, CA 93106-9490
Phone
(805) 893-2049
Fax
(805) 893-2658
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Lynn KoegelNPI 1104191022
Title
Clinic Director
Phone
(805) 893-2049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 24597 CA Primary

Addresses

Primary practice location

Koegel Autism Center Ggse Ucsb
Santa Barbara, CA 93106-9490

Mailing address

Koegel Autism Center Ggse Ucsb
Santa Barbara, CA 93106-9490

National Provider Directory

National Provider Directory
Tax ID family
Ucsd Pro Billing Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

Koegel Autism Ctr Ggse Ucsb
Santa Barbara, CA 93106
Phone (805) 893-2049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1730454653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KOEGEL AUTISM CENTER GGSE UCSB",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931069490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KOEGEL AUTISM CENTER GGSE UCSB",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931069490",
            "telephone_number": "805-893-2049",
            "fax_number": "805-893-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA SANTA BARBARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "KOEGEL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "805-893-2049"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24597",
            "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 Mar 9, 2012; 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.