Cinthia Poulis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2400 Professional Pkwy Ste 150
Santa Maria, CA 93455-1635

Phone

(805) 608-2830

NPI assigned

Jul 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cinthia Olmedo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Department-Bridgehouse

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD (past)
• Telecare Corporation

  dba Telecare Santa Maria Adult/Older Adult FSP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Maria, CA
  • NPI 1316192149
  NPD (past)

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1750834412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PROFESSIONAL PKWY STE 150",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551635",
            "telephone_number": "805-608-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Carmen Ln",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934587768",
            "country_code": "US",
            "telephone_number": "805-348-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULIS",
        "first_name": "CINTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCMILLAN RANCH",
            "identifier": "1689762486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINTHIA",
            "last_name": "OLMEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christian Daniel Portillo
• Daisy Elizabeth Portillo
• Chelsea Eismann Potter, RD
• Keela Noelle Potter
• Matthew Edwards Potter
• Alireza Poursayah, DMD
• Jermaine Powell
• Kirstyn Elizabeth Powell, MD
• Penni Powell
• Shannon Lee Power

• Behavior Technician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.