Organization · NPI-2

Andrea M Kulberg, Phd Clinical Psychology INC

Clinic/Center, Adult Mental Health · Ventura, CA

NPI number1871370320
StatusActive
Last updated in NPPESOct 23, 2026

Details

NPI
1871370320
Entity type
Organization (NPI-2)
Legal business name
Andrea M Kulberg, Phd Clinical Psychology INC
Organization subpart
No
Enumeration date
Sep 8, 2023
Certification date
Oct 23, 2026
Last updated
Oct 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

3585 Maple St Ste 277
Ventura, CA 93003-9146

Phone 805-705-0614

Mailing address

1187 Coast Village Rd Ste 375
Santa Barbara, CA 93108-2737

Other practice locations

4213 State St Ste 300
Santa Barbara, CA 93110-2847

Phone 805-705-0614

Authorized official

Shannon Knox
Billing Manager
8057290180

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