MEDICARE: DR. MIRIAM ROSE WINTHROP HABER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A164783	CA
2	174400000X	Specialist	A164783	CA
3	2084P0805X	Geriatric Psychiatry Physician	A164783	CA

General Provider Information

NPI Number	:	1093291353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIRIAM ROSE WINTHROP HABER MD

Provider Business Mailing Address
First Line	:	1133 PALOMINO RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-2146
Country	:	US
Telephone Number	:	805-895-5684
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 E MICHELTORENA ST STE D
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-4224
Country	:	US
Telephone Number	:	805-837-1617
Fax Number	:	805-243-0316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2018
Last Update Date	:	01/21/2026

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