Active NPI
Jennifer Georgian La Guardia, PH.D.
- Clinical Psychologist
- Goleta, CA
National Provider Identifier
1770968737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27223
- Practice address
- 5276 Hollister Ave
Suite 457
Goleta, CA 93111-2073 - Phone
- (805) 450-5271
- NPI assigned
- Jul 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 27223 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 016109-1 | NY |
Addresses
Primary practice location
5276 Hollister Ave
Suite 457
Goleta, CA 93111-2073
Mailing address
PO Box 815
Santa Barbara, CA 93102-0815
Phone (805) 450-5271
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016109-1 | NY | MD | Clinical Psychologist |
| 27223 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1770968737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 815",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931020815",
"telephone_number": "805-450-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5276 HOLLISTER AVE",
"address_2": "SUITE 457",
"city": "GOLETA",
"state": "CA",
"postal_code": "931112073",
"telephone_number": "805-450-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA GUARDIA",
"first_name": "JENNIFER",
"middle_name": "GEORGIAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27223",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016109-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.