NPI 1962061739 · live from the CMS NPI Registry
Acacia Psychological Corporation
Psychologist in Santa Cruz, CA. National Provider Identifier 1962061739, active.
NPI record
| NPI | 1962061739 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 740 Front St Ste 220, Santa Cruz, CA 95060 |
| Practice phone | 888-699-4873 |
| Mailing address | 281 Magnolia Ave Ste 300, Goleta, CA 93117 |
| Enumerated | June 6, 2019 |
| Last updated | June 6, 2019 |
| Authorized official | Jess Rodriguez, Director Of Business Services |
| Other names | Acacia Counseling & Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.