| Neurobehavioral Health - A Psychological Corporation | |
|
5266 Hollister Ave Ste 212 Santa Barbara CA 93111-4041 | |
| (805) 451-1463 | |
| Not Available |
| Full Name | Neurobehavioral Health - A Psychological Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5266 Hollister Ave Ste 212, Santa Barbara, California |
| Authorized Official Name and Position | James Fortman (PRESIDENT) |
| Authorized Official Contact | 8054511463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Health - A Psychological Corporation 5266 Hollister Ave Ste 212 Santa Barbara CA 93111-4041 Ph: (805) 451-1463 | Neurobehavioral Health - A Psychological Corporation 5266 Hollister Ave Ste 212 Santa Barbara CA 93111-4041 Ph: (805) 451-1463 |
| NPI Number | 1124430038 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 09/08/2018 |
| Medicare PECOS PAC ID | 9830317411 |
|---|---|
| Medicare Enrollment ID | O20140822001405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124430038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY26321 (California) | Primary |
| Provider Name | James Alexander Fortman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306256029 PECOS PAC ID: 0749408326 Enrollment ID: I20140822001484 |
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