Judith Picazo Herrera
Individual provider Active NPI Marriage & Family Therapist · Soledad, CA
NPI 1992961726 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1992961726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 51610 (CA)
- Practice address
- 359 Gabilan Dr
Soledad, CA 93960-3550 - Phone
- (831) 769-8740
- NPI assigned
- Jul 31, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416001283 | CA | Practitioner - Marriage and Family Therapist | 5294174801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51610 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey Behavioral Health | Current |
Accepting new patients | |
| Chamberlain'S Day Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51610 | CA | Yes |
Addresses
Primary practice location
359 Gabilan Dr
Soledad, CA 93960-3550
Mailing address
379 Franscioni St
Soledad, CA 93960-3461
Phone (831) 320-1931
Other providers in Soledad, CA
- Karina Demi Harris
- Adrianna Hawkins
- Rio H Heigh
- Tyler Don Hensel
- Crystal Maria Hernandez
- James Charles Hill
- Sindela Hipolito
- Hoogendyk and Trebino Inc
- Jasminda Horne
- Interim, Inc.
All providers in Soledad, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.