Active NPI
Sally A Raymond, MFT
- Psychologist
- Santa Barbara, CA
National Provider Identifier
1740399930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MFC29561
- Practice address
- 11 Fasano Way
Santa Barbara, CA 93105-4508 - Phone
- (805) 682-1271
- Fax
- (805) 682-1271
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MFC29561 | CA | Primary |
Addresses
Primary practice location
11 Fasano Way
Santa Barbara, CA 93105-4508
Mailing address
11 Fasano Way
Santa Barbara, CA 93105-4508
Phone (805) 682-1271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240304003961 | CA | Practitioner - Marriage and Family Therapist | 4688083868 | Practice locations: Santa Barbara, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC29561 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1740399930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FASANO WAY",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054508",
"telephone_number": "805-682-1271",
"fax_number": "805-682-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FASANO WAY",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054508",
"telephone_number": "805-682-1271",
"fax_number": "805-682-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "SALLY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "MFC29561",
"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 Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.