ANDREA M KULBERG, PHD CLINICAL PSYCHOLOGY INC
NPI 1871370320
Clinic/Center - Mental Health (Including Community Mental Health Center) in Montecito, CA

Active since September 08, 2023
1482 E VALLEY RD STE 17, MONTECITO, CA 93108(805) 705-0614 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2024, Sep 8, 2023 (2 updates tracked since 2023).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About ANDREA M KULBERG, PHD CLINICAL PSYCHOLOGY INC

This page provides the complete NPI Profile along with additional information for Andrea M Kulberg, Phd Clinical Psychology Inc, a provider established in Montecito, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1871370320 assigned on September 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Andrea M Kulberg, Phd Clinical Psychology Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Shannon Knox (Billing Manager)

NPI
1871370320 Verify this NPI
Provider Name
ANDREA M KULBERG, PHD CLINICAL PSYCHOLOGY INC
Entity Type
Organization
Location Address
1482 E VALLEY RD STE 17 MONTECITO, CA 93108
Location Phone
(805) 705-0614
Mailing Address
1187 COAST VILLAGE RD STE 375 SANTA BARBARA, CA 93108
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2023
Last Update Date
11-15-2024
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Location Map

Secondary Locations

  • 3585 Maple St Ste 277
    Ventura, CA 93003
    (805) 705-0614
  • 250 Storke Rd Ste 7
    Goleta, CA 93117
    (805) 705-0614

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
2251S00000XAgencies

Community/Behavioral Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANNON KNOX

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(805) 729-0180

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Mental Health)
1482 E VALLEY RD STE 17
MONTECITO, CA 93108
Marriage & Family Therapist
1482 E VALLEY RD STE 17
MONTECITO, CA 93108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871370320, enumerated as an "organization" on September 08, 2023.

The provider is located at 1482 E VALLEY RD STE 17 MONTECITO, CA 93108 and the phone number is (805) 705-0614.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).