DR. BARRY SCOTT MACTARNAGHAN (NPI# 1972872513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972872513 |
| Entity Type | Individual |
| Full Name | DR. BARRY SCOTT MACTARNAGHAN |
| Credential | PSY.D. |
| Practice Address |
California Mens Colony Highway 1 San Luis Obispo CA 93409-8101 |
| Mailing Address |
California Mens Colony Po Box 8101 San Luis Obispo CA 93409-8101 |
| Practice Telephone | 8055477900 |
| Mailing Telephone | 8055477900 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 21814 | CA | Behavioral Health & Social Service Providers |
| Street Address |
CALIFORNIA MENS COLONY HIGHWAY 1 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93409-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962558205 | Brian Michael Rees | Family Medicine | California Mens Colony, Highway 1, San Luis Obispo, CA 93409-0001 | 2007-01-27 |
| 1487106001 | Andrea Grey | Psychologist | California Mens Colony, Highway 1, San Luis Obispo, CA 93409-0001 | 2016-10-31 |
| 1760934715 | Louise Scott | Social Worker | California Mens Colony, Highway 1, San Luis Obispo, CA 93409-8101 | 2016-10-25 |
| 1912367954 | Jessica Zelikman | Psychologist | California Mens Colony, San Luis Obispo, CA 93409 | 2016-03-03 |
| 1336504687 | Amanda Moreno | Psychologist | California Mens Colony, Highway 1, San Luis Obispo, CA 93409-0001 | 2015-12-30 |
| 1821490863 | Tia Araminta | Psychologist | California Mens Colony, Highway One, San Luis Obispo, CA 93409-0001 | 2014-09-22 |
| 1528470887 | Lauren Krup | Pharmacist | California Mens Colony, Highway 1, San Luis Obispo, CA 93409-0001 | 2014-05-21 |
| 1649518556 | Eva Magdalena Hawkins | Social Worker | California Mens Colony, Highway 1, Colony Drive, San Luis Obispo, CA 93409-8101 | 2013-01-28 |
| 1932466877 | Maritza Molina | Psychologist | California Mens Colony, Highway 1 North, San Luis Obispo, CA 93409-0001 | 2012-04-17 |
| 1841433000 | Robert Marlette Croxton | Psychiatry & Neurology | California Mens Colony, Highway 1, San Luis Obispo, CA 93409-0001 | 2009-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644580 | Corrections and Rehabilitation | Pharmacy | Highway 1, San Luis Obispo, CA 93409 | 2020-03-17 |
| 1356976252 | Corrections and Rehabilitation | Pharmacy | Highway 1, Bk-3, San Luis Obispo, CA 93409 | 2020-03-11 |
| 1730625054 | Arlene Pereida | Recreation Therapist | Highway 1, Slo, CA 93409 | 2017-01-10 |
| 1801215967 | Lindsay Renae Hathaway | Dentist | California Men's Colony, Colony Dr, San Luis Obispo, CA 93409 | 2014-04-15 |
| 1760805410 | Barbara Lee Ingersoll | Psychologist | Highway 1, San Luis Obispo, CA 93409 | 2014-01-31 |
| 1396050852 | Kimberly Kaufman | Psychologist | Highway 1, California Mens Colony, San Luis Obispo, CA 93409 | 2010-08-09 |
| 1114163045 | Barbara Jean Williams | Psychiatry & Neurology | Hwy 1, Ca Mens Colony Psychiatry Dept, San Luis Obispo, CA 93409 | 2008-12-24 |
| 1124511647 | William E. Watson | Social Worker | Colony Drive, San Luis Obispo, CA 93409-0001 | 2018-06-09 |
| 1508211764 | Christine Fisher | Student in an Organized Health Care Education/Training Program | Colony Dr, San Luis Obispo, CA 93409-0001 | 2016-04-25 |
| 1306256128 | Jody Michelle Poquette | Social Worker | California Mens Colony State Prison, Hwy 1, San Luis Obispo, CA 93409-0001 | 2014-05-01 |
| Find all providers in zip 93409 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291007 | Kerianne Elizabeth Ditomasso | Psychologist | 1551 Bishop St Ste A-130, San Luis Obispo, CA 93401-4635 | 2020-07-01 |
| 1366949943 | Lisa Slover | Psychologist | 1530 Monterey St Ste A, San Luis Obispo, CA 93401-2969 | 2018-04-10 |
| 1376991315 | Karin Kerstin Gutierrez | Psychologist | 1107 Johnson Avenue, San Luis Obispo, CA 93401 | 2016-06-01 |
| 1225411614 | Stephen Theodore Bobey Jr. | Psychologist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-07-02 |
| 1760884670 | Robert Ryan | Psychologist | 1 Hwy 1, San Luis Obispo, CA 93409-8101 | 2014-09-23 |
| 1194135772 | Sarah Chisholm | Psychologist | California Mens Colony Highway 1 N, Dq Mental Health Building, San Luis Obispo, CA 93409-8101 | 2014-05-05 |
| 1699198689 | Cynthia Mccabe | Psychologist | California Mens Colony Mental Health, Hwy 1 North, Box 8101, San Luis Obispo, CA 93409-8101 | 2014-01-27 |
| 1164854139 | James Brian Fishback | Psychologist | 4421 Brookpine Dr, San Luis Obispo, CA 93401-7802 | 2013-08-01 |
| 1184967226 | Deserie R Barragan | Psychologist | D Facility Highway 1, Department of Corrections and Rehabilitation, San Luis Obispo, CA 93403 | 2013-03-27 |
| 1811234297 | Barbara Y Mair | Psychologist | Hwy 1 N, San Luis Obispo, CA 93409-0001 | 2013-01-06 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93409 |
Please comment or provide details below to improve the information on DR. BARRY SCOTT MACTARNAGHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.