Rebecca M. Picard, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112212 Issued in CA

Practice address

45121 Ukiah Street
Suite C
Mendocino, CA 95460

Phone

(707) 357-8688

Fax

(707) 962-9237

NPI assigned

Aug 26, 2016

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Wendy Hyde Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 22, 2024 through Jan 22, 2028

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": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1841746237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "MENDOCINO",
            "state": "CA",
            "postal_code": "954600832",
            "telephone_number": "707-357-8688",
            "fax_number": "707-962-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45121 UKIAH STREET",
            "address_2": "SUITE C",
            "city": "MENDOCINO",
            "state": "CA",
            "postal_code": "95460",
            "telephone_number": "707-357-8688",
            "fax_number": "707-962-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARD",
        "first_name": "REBECCA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF93080",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "HYDE",
            "credential": "JD, LLM, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northern California Medical Assoc Inc
• Carol Ohsiek, LAC
• Origin Pregnancy Boutique
• Nicole Patton, CLD
• Peter J. Marincovich (Audiology Associates)
• Cara Rand, LCSW
• Anna Rathbun, CN
• Dawnmarie Risley-Childs, D.O.
• Steven L Siler, MFT
• Judith Phillips Sill, PHD

• Marriage & Family Therapist in Mendocino, CA
• Providers in Mendocino, 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 Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.