Organization Active NPI

Karen McDermott

  • Community/Behavioral Health Agency
  • Santa Maria, CA
National Provider Identifier
1790104768
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC41639 Issued in CA
Legal business name
KAREN MCDERMOTT
Practice address
110 S Pine St
Ste 107
Santa Maria, CA 93458-5077
Phone
(805) 868-6075
Fax
(805) 922-0089
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Karen McDermott, LMFTNPI 1679992473
Title
Mental Health Therapist
Phone
(805) 868-6075

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
Community/Behavioral Health Agency 251S00000X MFC41639 CA Primary

Addresses

Primary practice location

110 S Pine St
Ste 107
Santa Maria, CA 93458-5077

Mailing address

PO Box 5746
Santa Maria, CA 93456-5746
Phone (805) 868-6075

Other names 1

  • Karen McDermott Doing business as

National Provider Directory

National Provider Directory

Locations

110 S Pine St
Ste 107
Santa Maria, CA 93458
Phone (805) 801-1299

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": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1790104768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5746",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934565746",
            "telephone_number": "805-868-6075",
            "fax_number": "805-922-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PINE ST",
            "address_2": "STE 107",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585077",
            "telephone_number": "805-868-6075",
            "fax_number": "805-922-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN MCDERMOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "805-868-6075",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC41639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen McDermott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.