Individual provider Active NPI

Andrea M Kulberg, PH.D.

  • Clinical Psychologist
  • Santa Barbara, CA
National Provider Identifier
1912334426
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
29196 Issued in CA
Practice address
4213 State St Ste 300
Santa Barbara, CA 93110-2847
Phone
(805) 705-0614
Fax
(800) 878-7161
NPI assigned
Sep 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2652 CO
Clinical Psychologist 103TC0700X 29196 CA Primary

Addresses

Primary practice location

4213 State St Ste 300
Santa Barbara, CA 93110-2847

Mailing address

1187 Coast Village Rd Ste 1-375
Santa Barbara, CA 93108-2737
Phone (805) 705-0614

Other practice location 1

3585 Maple St Ste 277
Ventura, CA 93003-9146
Phone (805) 705-0614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2652COMDClinical Psychologist
29196CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety Experts CurrentSince Oct 12, 2025 Accepting new patients

Locations

4213 State St
Ste 300
Santa Barbara, CA 93110
Phone (805) 705-0614

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1912334426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD STE 1-375",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-705-0614",
            "fax_number": "800-878-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 STATE ST STE 300",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931102847",
            "telephone_number": "805-705-0614",
            "fax_number": "800-878-7161"
        }
    ],
    "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",
            "fax_number": "800-878-7161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULBERG",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-28",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2652",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.