Healthcare Provider Details

I. General information

NPI: 1508835075
Provider Name (Legal Business Name): ROBERT E SHUBINSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 03/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1399
US

IV. Provider business mailing address

429 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1399
US

V. Phone/Fax

Practice location:
  • Phone: 805-884-1600
  • Fax: 805-884-1602
Mailing address:
  • Phone: 805-884-1600
  • Fax: 805-884-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8678
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number8678
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number146749
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number146749
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: