Individual provider Active NPI

Barbara Y Mair, PSYD

  • Clinical Psychologist
  • San Luis Obispo, CA
National Provider Identifier
1811234297
Registry record updated Jan 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21147 Issued in CA
Practice address
Hwy 1 N
San Luis Obispo, CA 93409-0001
Phone
(805) 547-7900
NPI assigned
Jan 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21147 CA Primary

Addresses

Primary practice location

Hwy 1 N
San Luis Obispo, CA 93409-0001

Mailing address

1314 Palm St
101
San Luis Obispo, CA 93401-3100
Phone (805) 439-1739

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
PSY21147CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357430400000",
    "number": "1811234297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PALM ST",
            "address_2": "101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013100",
            "telephone_number": "805-439-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 1 N",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-547-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIR",
        "first_name": "BARBARA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; 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.