Organization Active NPI

Family Service Agency of Santa Barbara County

Doing business as Santa Maria Valley Youth and Family Center

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1932647336
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY
Doing business as
Santa Maria Valley Youth and Family Center
Practice address
105 N Lincoln St
Santa Maria, CA 93458
Phone
(805) 928-1707
Fax
(805) 922-4797
NPI assigned
Feb 6, 2017
Organization subpart
Yes
Parent organization
FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Lisa Brabo
Title
Executive Director
Phone
(805) 965-1001

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

105 N Lincoln St
Santa Maria, CA 93458

Mailing address

123 W Gutierrez St
Santa Barbara, CA 93101-3424
Phone (805) 965-1001

Other names 1

  • Santa Maria Valley Youth and Family Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Service Agency6 organizations share this tax ID, including this one
Part of
Family Service Agency

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1932647336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W GUTIERREZ ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013424",
            "telephone_number": "805-965-1001",
            "fax_number": "805-965-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N LINCOLN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93458",
            "telephone_number": "805-928-1707",
            "fax_number": "805-922-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY",
        "enumeration_date": "2017-02-06",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "BRABO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-965-1001"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Valley Youth and Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.