Agustina P. Gallegos, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 44550 Issued in CA

Practice address

449 San Benito St Ste 26
Hollister, CA 95023-3962

Phone

(831) 524-3878

NPI assigned

Aug 30, 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 names 1

• Agustina Polo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1124212477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 MEMORIAL DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234105",
            "telephone_number": "831-297-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 SAN BENITO ST STE 26",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233962",
            "telephone_number": "831-524-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "AGUSTINA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGUSTINA",
            "last_name": "POLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Michaella Angelina Galope, RAS
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• Aldo Daniel Garcia Munoz, PROGRAM SUPERVISOR
• Ariana Isabel Garcia

• Marriage & Family Therapist in Hollister, CA
• Providers in Hollister, 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 Aug 30, 2007; 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.