THE PHOENIX HOUSE OF SANTA BARBARA, INC. (NPI# 1104264381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104264381 |
| Entity Type | Organization |
| Organization Name | THE PHOENIX HOUSE OF SANTA BARBARA, INC. |
| Other Organization Name | PHOENIX HOUSE |
| Practice Address |
107 E Micheltorena St Santa Barbara CA 93101 |
| Mailing Address |
107 E Micheltorena St Santa Barbara CA 93101-1905 |
| Practice Telephone | 8059656787 |
| Practice Fax Number | 8059653797 |
| Mailing Telephone | 8059656786 |
| Mailing Fax Number | 8059653797 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | AVA POLAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8059653434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Phoenix House | Other Name - Individual/Organization |
| Street Address |
107 E MICHELTORENA ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023195146 | The Phoenix of Santa Barbara, Inc | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2006-11-01 |
| 1164036067 | Kristopher Turner | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2020-09-08 |
| 1326668260 | Chassidie Faith Liu | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2020-04-21 |
| 1821638347 | Mallory Neithart | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2020-01-13 |
| 1467091587 | Madison Estelle Niessen | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2020-01-06 |
| 1730721572 | Ethan Sean Bruer | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2019-10-14 |
| 1760030704 | Hanna Rae | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2019-09-03 |
| 1477105823 | Dylan Young | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2019-07-15 |
| 1588223168 | Kaylene Woo | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2019-06-07 |
| 1427615236 | Kyla C Allen-grant | Counselor | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035998 | Danielle Marie Lauser | Marriage & Family Therapist | 735 State Street, Suite 416a, Santa Barbara, CA 93101 | 2020-02-18 |
| 1578056560 | Recovery Santa Barbara, Inc. | Voluntary or Charitable | 1532 Castillo Street, Main House and Units A and B, Santa Barbara, CA 93101 | 2018-06-13 |
| 1730678798 | Igor Lantsberg | Dentist | 31 W Gutierrez St, Santa Barbara, CA 93101 | 2018-05-05 |
| 1477071900 | Liliana De La Rocha | Counselor | 123 W Gutierrez Street, Santa Barbara, CA 93101 | 2017-09-05 |
| 1023531613 | Julie Roman | Counselor | 324 E Carrillo St Ste C, Santa Barbara, CA 93101 | 2017-07-25 |
| 1538689849 | Alejandra Sanchez | Counselor | 107 East Micheltorena St., Santa Barbara, CA 93101 | 2017-06-27 |
| 1205374725 | Suzanne Marlow | Marriage & Family Therapist | 27 East Victoria Street #m, Santa Barbara, CA 93101 | 2017-02-03 |
| 1063878395 | Kelly James Berger | Counselor | 133 East Haley Street, Santa Barbara, CA 93101 | 2015-12-31 |
| 1982080180 | Council On Alcohol and Drug Abuse | Early Intervention Provider Agency | 111 Garden Street, Santa Barbara, CA 93101 | 2015-08-11 |
| 1548656580 | Stella Sacks | Counselor | 107 E. Micheltorena Street, Santa Barbara, CA 93101 | 2015-04-07 |
| Find all providers in zip 93101 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871975508 | Jessica Arroyo | Community Based Residential Treatment Facility, Mental Illness | 4730 Glenbrook St, Santa Barbara, CA 93110-1916 | 2015-06-18 |
| 1164089439 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 66 S San Antonio Rd, Santa Barbara, CA 93110-1720 | 2019-05-22 |
| 1164911392 | Pathpoint | Community Based Residential Treatment Facility, Mental Illness | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2018-05-03 |
| 1104315407 | Pathpoint | Community Based Residential Treatment Facility, Mental Illness | 37 Mountain Dr, Santa Barbara, CA 93103-1734 | 2018-05-02 |
| 1346637733 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 66 S San Antonio Rd, Santa Barbara, CA 93110 | 2015-04-23 |
| 1134525504 | Arlington Day Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 1136 De La Vina St, Santa Barbara, CA 93101-3114 | 2014-11-13 |
| 1447692181 | The Phoenix of Santa Barbara, Inc. | Community Based Residential Treatment Facility, Mental Illness | 37 Mountain Dr, Santa Barbara, CA 93103-1734 | 2013-07-23 |
| 1326339441 | Casa Juana Maria | Community Based Residential Treatment Facility, Mental Illness | 617 Garden St, Santa Barbara, CA 93101-1664 | 2011-04-23 |
| 1437397098 | Phoenix of Santa Barbara | Community Based Residential Treatment Facility, Mental Illness | 107 E Micheltorena St, Santa Barbara, CA 93101-1905 | 2009-02-04 |
| 1942483813 | Lyons House, Mha | Community Based Residential Treatment Facility, Mental Illness | 102 Hixon Rd, Santa Barbara, CA 93108-2617 | 2007-12-13 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.