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NPI Code Detail

MEDICARE: SANTA BARBARA BEHAVIORAL HEALTH, A PSYCHOLOGICAL CORPORATION

MEDICARE: SANTA BARBARA BEHAVIORAL HEALTH, A PSYCHOLOGICAL CORPORATION
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
1101YM0800XMental Health Counselor
2103T00000XPsychologist
32084P0804XChild & Adolescent Psychiatry Physician
42084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1528182573
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANTA BARBARA BEHAVIORAL HEALTH, A PSYCHOLOGICAL CORPORATION
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 805-681-0035
Fax Number :
Provider Business Practice Location Address
First Line : 5901 ENCINA RD STE A
Second Line :
City : GOLETA
State : CA
Zip : 93117-2270
Country : US
Telephone Number : 805-681-0035
Fax Number : 805-681-0029
Authorized Official
Title or Position : CHIEF LEGAL OFFICER
Name : RYAN PARDO
Credential :
Telephone Number : 425-213-9398
Provider Enumeration Date : 03/16/2007
Last Update Date : 10/08/2024

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