Individual provider Active NPI

Mitchell Perry Karno, PH.D.

  • Clinical Psychologist
  • Santa Barbara, CA
National Provider Identifier
1821143405
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18358 Issued in CA
Practice address
1216 State St
FL 4
Santa Barbara, CA 93101-2613
Phone
(805) 682-6006
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PSY18358 CA
Clinical Psychologist 103TC0700X PSY18358 CA Primary

Addresses

Primary practice location

1216 State St
FL 4
Santa Barbara, CA 93101-2613

Mailing address

1216 State St
FL 4
Santa Barbara, CA 93101-2613
Phone (805) 682-6006

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001356 CA Practitioner - Clinical Psychologist 6204825284 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1129 State St
Suite 26
Santa Barbara, CA 93101-6767
Phone (805) 682-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
18358CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1821143405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 STATE ST",
            "address_2": "FL 4",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012613",
            "telephone_number": "805-682-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 STATE ST",
            "address_2": "FL 4",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012613",
            "telephone_number": "805-682-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNO",
        "first_name": "MITCHELL",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY18358",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.