Organization Active NPI

Santa Cruz Psychotherapy PC

Doing business as Santa Cruz Therapy Collective

  • Clinical Psychologist
  • Capitola, CA
National Provider Identifier
1922719343
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SANTA CRUZ PSYCHOTHERAPY PC
Doing business as
Santa Cruz Therapy Collective
Practice address
830 Bay Ave
Capitola, CA 95010-2167
Phone
(831) 302-2323
NPI assigned
Dec 6, 2022
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Lindsay KaljianNPI 1134262728
Title
Executive Director
Phone
(831) 302-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

830 Bay Ave
Capitola, CA 95010-2167

Mailing address

PO Box 4269
Santa Cruz, CA 95063-4269
Phone (831) 302-2323

Other practice location 1

340 Soquel Ave
Santa Cruz, CA 95062-2328
Phone (831) 302-2323

Other names 1

  • Santa Cruz Therapy Collective Doing business as

National Provider Directory

National Provider Directory

Locations

830 Bay Ave
Capitola, CA 95010
Phone (831) 302-2323

340 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 302-2323

340 Soquel Ave
Ste 215
Santa Cruz, CA 95062
Phone (408) 353-2074

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1922719343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4269",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950634269",
            "telephone_number": "831-302-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BAY AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102167",
            "telephone_number": "831-302-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Soquel Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622328",
            "country_code": "US",
            "telephone_number": "831-302-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANTA CRUZ PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "KALJIAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-302-2324"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Cruz Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.