| Pacific Behavioral Health Care | |
|
22 W Mission St Ste C Santa Barbara CA 93101-2450 | |
| (805) 687-8021 | |
| (805) 335-8903 |
| Full Name | Pacific Behavioral Health Care |
|---|---|
| Speciality | Psychologist |
| Location | 22 W Mission St Ste C, Santa Barbara, California |
| Authorized Official Name and Position | Karin Mcauliff (CFO) |
| Authorized Official Contact | 8056878021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Behavioral Health Care 22 W Mission St Ste C Santa Barbara CA 93101-2450 Ph: (805) 687-8021 | Pacific Behavioral Health Care 22 W Mission St Ste C Santa Barbara CA 93101-2450 Ph: (805) 687-8021 |
| NPI Number | 1003307877 |
|---|---|
| Provider Enumeration Date | 05/28/2018 |
| Last Update Date | 05/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003307877 | NPI | - | NPPES |
| CP117720 | Medicaid | CA | |
| PSY11772 | Other | CA | CA. BOARD OF PSYCHOLOGY LICENSE NUMBER |
| 504032 | Other | CA | CA PSYCHOLOGICAL ASSOCIATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY11772 (California) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY11772 (California) | Secondary |
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