Active NPI
Jean Loretta Galica, M.A.
- Marriage & Family Therapist
- Morgan Hill, CA
National Provider Identifier
1851326342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC40309
- Practice address
- 17705 Hale Ave
BLDG I, Ste. 5
Morgan Hill, CA 95037-4340 - Phone
- (408) 644-3294
- Fax
- (408) 778-9917
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC40309 | CA | Primary |
Addresses
Primary practice location
17705 Hale Ave
BLDG I, Ste. 5
Morgan Hill, CA 95037-4340
Mailing address
658 Meadow Creek Dr
San Jose, CA 95136-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC40309 | CA | MD | Marriage & Family Therapist |
| 40309 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851326342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 MEADOW CREEK DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951361955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17705 HALE AVE",
"address_2": "BLDG I, STE. 5",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374340",
"telephone_number": "408-644-3294",
"fax_number": "408-778-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALICA",
"first_name": "JEAN",
"middle_name": "LORETTA",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC40309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.