Ms Elisa Antonieta Gottheil, | |
351 Paseo Nuevo # 2f, Santa Barbara, CA 93101-3382 | |
(805) 308-4568 | |
(805) 308-4568 |
Full Name | Ms Elisa Antonieta Gottheil |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 351 Paseo Nuevo # 2f, Santa Barbara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427117274 | NPI | - | NPPES |
PSY22753 | Other | CA | PSYCHOLOGIST LICENSE BY BOP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY22753 (California) | Primary |
Entity Name | Ehab Yacoub Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
---|---|
Ms Elisa Antonieta Gottheil, 1105 Las Olas Ave, Santa Barbara, CA 93109-2114 Ph: (805) 308-4568 | Ms Elisa Antonieta Gottheil, 351 Paseo Nuevo # 2f, Santa Barbara, CA 93101-3382 Ph: (805) 308-4568 |
Dr. Shauna Kloomok, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1532 State St, Suite G, Santa Barbara, CA 93101 Phone: 805-636-0565 | |
Dr. Kurt Goerwitz, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1215 De La Vina Street, Suite D, Santa Barbara, CA 93101 Phone: 805-966-5165 Fax: 805-957-9612 | |
Dr. Diane Susan Krieger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2905 Paseo Tranquillo, Santa Barbara, CA 93105 Phone: 805-682-6629 | |
Dr. Dana Paul Saperstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2417 Calle Almonte, Santa Barbara, CA 93109 Phone: 805-962-1212 | |
Dr. Judith Hope Hamilton, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1531 Chapala St, Ste 2, Santa Barbara, CA 93101 Phone: 805-560-8119 | |
Dr. Karen E. Lehman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3736 Dixon St, Santa Barbara, CA 93105 Phone: 805-320-0782 | |
Dr. Todd Christopher O'hearn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22 W Micheltorena St, Suite A, Santa Barbara, CA 93101 Phone: 805-766-0107 Fax: 805-495-6970 |