| Rebecca Pegoda-hallock, | |
|
4245 Capitola Rd Ste 205, Capitola, CA 95010-3573 | |
| (831) 345-2726 | |
| (408) 524-4911 |
| Full Name | Rebecca Pegoda-hallock |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 4245 Capitola Rd Ste 205, Capitola, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194121699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT32878 (California) | Primary |
| Entity Name | Western Psychological And Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Pegoda-hallock, 4245 Capitola Rd Ste 205, Capitola, CA 95010-3573 Ph: (831) 345-2726 | Rebecca Pegoda-hallock, 4245 Capitola Rd Ste 205, Capitola, CA 95010-3573 Ph: (831) 345-2726 |
Gail Lewis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 603 Capitola Ave, Capitola, CA 95010 Phone: 831-419-5583 | |
Taria Joy Mac Millan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 603 Capitola Ave, Capitola, CA 95010 Phone: 831-588-1826 | |
Bette Kaiser, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 Bay Ave, Suite 205, Capitola, CA 95010 Phone: 831-332-4040 Fax: 831-462-4373 | |
Mary Ransom, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 870 Park Ave # 317, Capitola, CA 95010 Phone: 805-680-8988 | |
Nancy Wallingford, MA, MFT MFC #51404 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1395 41st Ave, Suite E, Capitola, CA 95010 Phone: 831-713-7546 | |
Veda Ozelle, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4245 Capitola Rd Ste 205, Capitola, CA 95010 Phone: 831-713-9177 |