| Santa Barbara Behavioral Health, A Psychological Corporation | |
|
5901 Encina Rd Ste A Goleta CA 93117-2270 | |
| (805) 681-0035 | |
| (805) 681-0029 |
| Full Name | Santa Barbara Behavioral Health, A Psychological Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5901 Encina Rd Ste A, Goleta, California |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252139398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Barbara Behavioral Health, A Psychological Corporation 4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: (805) 681-0035 | Santa Barbara Behavioral Health, A Psychological Corporation 5901 Encina Rd Ste A Goleta CA 93117-2270 Ph: (805) 681-0035 |
| NPI Number | 1528182573 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 3870017536 |
|---|---|
| Medicare Enrollment ID | O20250403003259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528182573 | NPI | - | NPPES |
| Provider Name | Michael M Ferguson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770586851 PECOS PAC ID: 7416986609 Enrollment ID: I20050808001114 |
| Provider Name | Barry Mills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902918675 PECOS PAC ID: 7810958428 Enrollment ID: I20110519000508 |
| Provider Name | Michael Adams Bolton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669738274 PECOS PAC ID: 2062651425 Enrollment ID: I20140826002965 |
| Provider Name | Laniece P Clausell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790052389 PECOS PAC ID: 4183029473 Enrollment ID: I20210825001186 |
| Provider Name | Jalaledin Ebrahim |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255457388 PECOS PAC ID: 4486090966 Enrollment ID: I20240306003223 |
| Provider Name | Bradford Lee Durian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861601148 PECOS PAC ID: 7911344890 Enrollment ID: I20240327002703 |
| Provider Name | Susan Elizabeth Kasser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437704178 PECOS PAC ID: 9537606132 Enrollment ID: I20240731003686 |
| Provider Name | Madeleine Kathryn Mauk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619490604 PECOS PAC ID: 4082139647 Enrollment ID: I20250416003172 |
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Santa Barbara County Admhs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Aero Camino, Goleta, CA 93117 Phone: 805-961-9200 | |
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