{
"Npi": {
"NPI": "1710065784",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MENTAL HEALTH ASSOCIATION IN SANTA BARBARA COUNTY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "617 GARDEN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SANTA BARBARA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93101-1664",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-884-8440",
"MailingAddressFaxNumber": "805-884-8445",
"FirstLinePracticeLocationAddress": "106 JUANA MARIA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA BARBARA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93103-2714",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-963-5021",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/01/2006",
"LastUpdateDate": "02/29/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAPAGEORGE",
"AuthorizedOfficialFirstName": "NICHOLAS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF RESIDENTIAL SERVICES",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "805-884-8440",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251V00000X",
"TaxonomyName": "Voluntary or Charitable Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "320800000X",
"TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}