Provider Demographics
NPI:1841029758
Name:CALIFORNIA PSYCHOLOGY, MARRIAGE & FAMILY THERAPY INC.
Entity type:Organization
Organization Name:CALIFORNIA PSYCHOLOGY, MARRIAGE & FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, #125830
Authorized Official - Phone:805-705-7800
Mailing Address - Street 1:2025 CASTILLO ST APT C
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4289
Mailing Address - Country:US
Mailing Address - Phone:805-705-7800
Mailing Address - Fax:
Practice Address - Street 1:2025 CASTILLO ST APT C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4289
Practice Address - Country:US
Practice Address - Phone:805-705-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty