Healthcare Provider Details

I. General information

NPI: 1821143405
Provider Name (Legal Business Name): MITCHELL PERRY KARNO PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 STATE ST FL 4
SANTA BARBARA CA
93101-2613
US

IV. Provider business mailing address

1216 STATE ST FL 4
SANTA BARBARA CA
93101-2613
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-6006
  • Fax:
Mailing address:
  • Phone: 805-682-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPSY18358
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY18358
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: