Active NPI
Ole Behrendtsen
- Psychiatry Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A111247
- Practice address
- 315 Camino del Remedio
Santa Barbara, CA 93110-1332 - Phone
- (805) 681-5450
- NPI assigned
- Apr 11, 2007
- Last updated
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R6903 | IA | |
| Internal Medicine Physician | 207R00000X | 37227 | IA | |
| Psychiatry Physician | 2084P0800X | 37227 | IA | |
| Psychiatry Physician | 2084P0800X | A111247 | CA | Primary |
Addresses
Primary practice location
315 Camino del Remedio
Santa Barbara, CA 93110-1332
Mailing address
315 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 681-5450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00411059 | Other | IA | RAILROAD MEDICARE |
| 56589 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4444 Calle Real
Santa Barbara, CA 93110-1002
Phone (805) 681-5190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6903 | IA | MD | Internal Medicine Physician |
| A111247 | CA | MD | Psychiatry Physician |
| 37227 | IA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara County County Auditor | Current | Accepting new patients |
Locations
4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Santa Barbara Psychiatric Health & Santa Barbara County Dept of Behavi | Hospital | Corporate Director | Aug 28, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Santa Barbara Psychiatric Health Facility
- Psychiatric Hospital Unit
- Santa Barbara, CA
- NPI 1831300946
Corporate Director
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Calle Real Mental Health Services Center
- Community/Behavioral Health Agency
- Santa Barbara, CA
- NPI 1487857405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1801019534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-681-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-681-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENDTSEN",
"first_name": "OLE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R6903",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "37227",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "37227",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A111247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00411059",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "56589",
"state": "IA"
}
],
"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 Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.