Individual provider Active NPI

Rebecca Anne Gillogly, PSYD, LMFT

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1255708558
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33914 Issued in CA
Practice address
3102 O St Ste 8
Sacramento, CA 95816-7179
Phone
(805) 791-6372
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 104528 CA
Clinical Psychologist 103TC0700X 33914 CA Primary

Addresses

Primary practice location

3102 O St Ste 8
Sacramento, CA 95816-7179

Mailing address

3102 O St Ste 8
Sacramento, CA 95816-7179
Phone (805) 791-6372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 31, 2023 through Dec 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33914CAMDClinical Psychologist
104528CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Gillogly Psychologist a Professional Corporation Clinical CurrentSince Jun 8, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients

Locations

3102 O St
Ste 8
Sacramento, CA 95816
Phone (415) 489-0577

Interoperability endpoints

  • Direct secure messaging: rebeccagillogly@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1255708558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 O ST STE 8",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167179",
            "telephone_number": "805-791-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 O ST STE 8",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167179",
            "telephone_number": "805-791-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOGLY",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104528",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.