Healthcare Provider Details

I. General information

NPI: 1821056557
Provider Name (Legal Business Name): ANDREW MILLAR PHD AND TERI WHITE PHD DBA PSYCHOLOGY CENTER OF SANTA MA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5075 S BRADLEY RD SUITE 125
SANTA MARIA CA
93455-5077
US

IV. Provider business mailing address

5075 S BRADLEY RD SUITE 125
SANTA MARIA CA
93455-5077
US

V. Phone/Fax

Practice location:
  • Phone: 805-934-8421
  • Fax: 805-934-7106
Mailing address:
  • Phone: 805-934-8421
  • Fax: 805-934-7106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TERI WHITE
Title or Position: OWNER
Credential: PH.D.
Phone: 805-934-8421