Individual provider Active NPI

Mindy B Bachrach

  • Specialist
  • Santa Barbara, CA
National Provider Identifier
1790949832
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7782 Issued in CA
Practice address
2648 State St Apt 30
Santa Barbara, CA 93105-3585
Phone
(805) 204-8777
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7782 CA Primary
Specialist 174400000X 007438-1 NY

Addresses

Primary practice location

2648 State St Apt 30
Santa Barbara, CA 93105-3585

Mailing address

2648 State St Apt 30
Santa Barbara, CA 93105-3585
Phone (805) 204-8777

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

State licenses

LicenseStateTypeSpecialty
7782CAMDProfessional Counselor
007438-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1790949832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 STATE ST APT 30",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053585",
            "telephone_number": "805-204-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 STATE ST APT 30",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053585",
            "telephone_number": "805-204-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHRACH",
        "first_name": "MINDY",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "7782",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "007438-1",
            "primary": false
        }
    ],
    "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 Jul 17, 2008; 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.