Individual provider Active NPI

Peter D Claydon, PH.D.

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1831149772
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY8691 Issued in CA
Practice address
1531 Chapala St
Suite 2
Santa Barbara, CA 93101-3060
Phone
(805) 965-1332
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY8691 CA Primary

Addresses

Primary practice location

1531 Chapala St
Suite 2
Santa Barbara, CA 93101-3060

Mailing address

1531 Chapala St
Suite 2
Santa Barbara, CA 93101-3060

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
I20040129001213 CA Practitioner - Clinical Psychologist 1153224860 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1531 Chapala St
Suite 2
Santa Barbara, CA 93101-3047
Phone (805) 965-1332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8691CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Miners, LCSW PastSince Apr 5, 2020 Accepting new patients
Jordan Witt, PH.D. Psychologist, Inc. Psychologist PastSince Mar 21, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1831149772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 CHAPALA ST",
            "address_2": "SUITE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 CHAPALA ST",
            "address_2": "SUITE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013060",
            "telephone_number": "805-965-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYDON",
        "first_name": "PETER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.