NPIMap

Organization Active NPI

Acacia Psychological Corporation

Doing business as Acacia Counseling & Wellness

  • Psychologist
  • Santa Cruz, CA
National Provider Identifier
1962061739
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ACACIA PSYCHOLOGICAL CORPORATION
Doing business as
Acacia Counseling & Wellness
Practice address
740 Front St Ste 220
Santa Cruz, CA 95060-4536
Phone
(888) 699-4873
Fax
(805) 472-6099
NPI assigned
Jun 6, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ACACIA PSYCHOLOGICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Jess Rodriguez
Title
Director of Business Services
Phone
(805) 472-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

740 Front St Ste 220
Santa Cruz, CA 95060-4536

Mailing address

281 Magnolia Ave Ste 300
Goleta, CA 93117-3608
Phone (805) 472-6099

Other names 1

  • Acacia Counseling & Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acacia Psychological Corporation9 organizations share this tax ID, including this one
Part of
Acacia Psychological Corporation

Other organizations with this tax ID 8

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

Locations

281 Magnolia Ave
Ste 300
Goleta, CA 93117

740 Front St
Ste 220
Santa Cruz, CA 95060
Phone (831) 318-7420

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1962061739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 MAGNOLIA AVE STE 300",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931173608",
            "telephone_number": "805-472-6099",
            "fax_number": "805-472-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRONT ST STE 220",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604536",
            "telephone_number": "888-699-4873",
            "fax_number": "805-472-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACACIA PSYCHOLOGICAL CORPORATION",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "805-472-6099"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acacia Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.