Healthcare Provider Details

I. General information

NPI: 1659135481
Provider Name (Legal Business Name): OPENMINDS MENTAL HEALTH SERVICES SPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 STATE ST STE 303
SANTA BARBARA CA
93101-8444
US

IV. Provider business mailing address

312 LIGHTHOUSE RD
SANTA BARBARA CA
93109-1908
US

V. Phone/Fax

Practice location:
  • Phone: 805-633-0849
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ALESSANDRA FLEMING
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 805-633-0849