Nancy Wallingford, MA, MFT MFC #51404

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC #51404 Issued in CA

Practice address

1395 41St Ave
Suite E
Capitola, CA 95010-3930

Phone

(831) 713-7546

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1083801997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 41ST AVE",
            "address_2": "SUITE E",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103930",
            "telephone_number": "831-713-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 41ST AVE",
            "address_2": "SUITE E",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103930",
            "telephone_number": "831-713-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLINGFORD",
        "first_name": "NANCY",
        "credential": "MA, MFT  MFC #51404",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC #51404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "MFT514040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91892Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Visher, PHD
• Visioncare of California
• Vitale Acupuncture
• Ngocphuong Vo
• Marjorie E Wagoner, PT
• Laura Louise Walter, L.AC.
• Paul Frederick Ware, M.D.
• Alex Junya Wayama
• Rebecca Weinfeld, R.N.,C., L.AC.
• Richard Allen Weinstein, DC

• Marriage & Family Therapist in Capitola, CA
• Providers in Capitola, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.