Provider Demographics
NPI:1598539280
Name:PSYCHOLOGICAL SERVICES FOR SUCCESS
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SERVICES FOR SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED EDUCATIONAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LEP
Authorized Official - Phone:805-403-3445
Mailing Address - Street 1:5290 OVERPASS RD STE 118
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2049
Mailing Address - Country:US
Mailing Address - Phone:805-403-3445
Mailing Address - Fax:
Practice Address - Street 1:5290 OVERPASS RD STE 220
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2051
Practice Address - Country:US
Practice Address - Phone:805-403-3445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty