Individual provider Active NPI

Devereaux Langdoc

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1932272564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 39479 Issued in CA
Practice address
1236 Chapala St
Santa Barbara, CA 93101-3116
Phone
(805) 965-3323
Fax
(805) 963-6707
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 39479 CA Primary

Addresses

Primary practice location

1236 Chapala St
Santa Barbara, CA 93101-3116

Mailing address

307 W Victoria St
Santa Barbara, CA 93101-3628
Phone (805) 965-3323

Other identifiers 1

IdentifierTypeStateIssuer
1225MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 39479CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932272564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W VICTORIA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013628",
            "telephone_number": "805-965-3323",
            "fax_number": "805-963-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 CHAPALA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013116",
            "telephone_number": "805-965-3323",
            "fax_number": "805-963-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGDOC",
        "first_name": "DEVEREAUX",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 39479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.