NPIMap

Organization Active NPI

Santiago FCC

  • Mental Health Counselor
  • Santa Barbara, CA
National Provider Identifier
1770001364
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SANTIAGO FCC
Practice address
1925 Chino St
Santa Barbara, CA 93101-4639
Phone
(805) 563-2836
NPI assigned
Sep 2, 2017
Organization subpart
Yes
Parent organization
COMMUNITY ACTION COMMSSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Laurel Scott, PSY.D., LMFT
Title
Clinical Services Director
Phone
(805) 563-2836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1925 Chino St
Santa Barbara, CA 93101-4639

Mailing address

1925 Chino St
Santa Barbara, CA 93101-4639
Phone (805) 563-2836

Other identifiers 1

IdentifierTypeStateIssuer
1386722205MedicaidCA

Other names 1

  • Ana Santiago Other name

National Provider Directory

National Provider Directory
Tax ID family
Santiago FCC39 organizations share this tax ID, including this one
Part of
Santiago FCC

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1504310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770001364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 CHINO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931014639",
            "telephone_number": "805-563-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 CHINO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931014639",
            "telephone_number": "805-563-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAGO FCC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACTION COMMSSION",
        "enumeration_date": "2017-09-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "805-563-2836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386722205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ana Santiago",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 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.

Verify at the official NPI Registry.