Provider Demographics
NPI:1386328532
Name:MY SANTA BARBARA PSYCHOLOGIST, PC
Entity type:Organization
Organization Name:MY SANTA BARBARA PSYCHOLOGIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGARR-KNABKE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:818-518-6775
Mailing Address - Street 1:319 E CARRILLO ST STE 206
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-7462
Mailing Address - Country:US
Mailing Address - Phone:818-518-6775
Mailing Address - Fax:
Practice Address - Street 1:319 E CARRILLO ST STE 206
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7462
Practice Address - Country:US
Practice Address - Phone:818-518-6775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)