Andrea M Kulberg, PHD Clinical Psychology Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ANDREA M KULBERG, PHD CLINICAL PSYCHOLOGY INC

Practice address

1482 E Valley Rd Ste 17
Montecito, CA 93108-1200

Phone

(805) 705-0614

NPI assigned

Sep 8, 2023

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Knox

Title

Billing Manager

Phone

(805) 729-0180

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Andrea M Kulberg, PHD Clinical Psychology Inc

  dba Anxiety Experts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ventura, CA
  • NPI 1417581711

  O20241226000329

  Same enrollment

Tax ID family

Andrea M Kulberg PHD Clinical Psychology Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Andrea M Kulberg, PHD Clinical Psychology Inc

  dba Anxiety Experts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ventura, CA
  • NPI 1417581711
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ari Rose Rogers, AMFT

  • Mental Health Counselor
  • Montecito, CA
  • NPI 1235840992
  NPD
• Robert G Salomon, AMFT, APCC

  • Marriage & Family Therapist
  • Montecito, CA
  • NPI 1821853482
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1871370320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 375",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 E VALLEY RD STE 17",
            "city": "MONTECITO",
            "state": "CA",
            "postal_code": "931081200",
            "telephone_number": "805-705-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3585 Maple St Ste 277",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930039146",
            "country_code": "US",
            "telephone_number": "805-705-0614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Storke Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "931172969",
            "country_code": "US",
            "telephone_number": "805-705-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDREA M KULBERG, PHD CLINICAL PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "805-729-0180"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Michelle Anderson, NP
• Aureum Intuitum Inc
• Wolfgang Wayne Ausserbauer, DC
• Aristides Charles Avgeris, MD
• Shannon Rose Barrett, PT, DPT
• Allen Eames Bishop, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Montecito, CA
• Providers in Montecito, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.