Healthcare Provider Details

I. General information

NPI: 1801311162
Provider Name (Legal Business Name): JOSHUA RICHARD HAMANN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 CLIFF DR STE F
SANTA BARBARA CA
93109-1650
US

IV. Provider business mailing address

1819 CLIFF DR STE F
SANTA BARBARA CA
93109-1650
US

V. Phone/Fax

Practice location:
  • Phone: 805-586-2400
  • Fax:
Mailing address:
  • Phone: 805-586-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: