MS. SANDRA POLAKOFF (NPI# 1609066679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609066679 |
| Entity Type | Individual |
| Full Name | MS. SANDRA POLAKOFF |
| Credential | MA LMFT |
| Practice Address |
519 Capitola Avenue Suite B Capitola CA 95010 |
| Practice Telephone | 8314777786 |
| Practice Fax Number | 8314263266 |
| Mailing Telephone | 8314777786 |
| Mailing Fax Number | 8314263266 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT33279 | CA | Behavioral Health & Social Service Providers |
| Street Address |
519 CAPITOLA AVENUE SUITE B |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1043423825 | Michael Andrew Koplen | Chiropractor | 4895 Capitola Road, Capitola, CA 95010 | 2007-05-08 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538567441 | Donnie Parker | Marriage & Family Therapist | 820 Bay Ave Ste 208, Capitola, CA 95010-2140 | 2014-12-09 |
| 1285986414 | Persephone B. Gonzalez | Marriage & Family Therapist | 4169 Viga Ct Ste A, Capitola, CA 95010-3560 | 2012-10-11 |
| 1073897021 | Patricia L Leclair | Marriage & Family Therapist | 820 Bay Ave Ste 248, Capitola, CA 95010-2166 | 2011-10-07 |
| 1548560329 | River Krimmer | Marriage & Family Therapist | 425 Capitola Ave Ste 1, Capitola, CA 95010-3363 | 2010-10-27 |
| 1306079595 | Kristin Falzett | Marriage & Family Therapist | 820 Bay Ave Ste 208c, Capitola, CA 95010-2139 | 2009-09-03 |
| 1154554665 | Veda Ozelle | Marriage & Family Therapist | 4245 Capitola Rd Ste 205, Capitola, CA 95010-3573 | 2009-08-31 |
| 1871756510 | Karen Hardink | Marriage & Family Therapist | 2121 41st Ave Ste 205, Capitola, CA 95010-2058 | 2008-07-02 |
| 1083801997 | Nancy Wallingford | Marriage & Family Therapist | 1395 41st Ave, Suite E, Capitola, CA 95010-3930 | 2007-09-25 |
| 1902934995 | Susanne Margaret Morgan | Marriage & Family Therapist | 1255 41st Ave, Capitola, CA 95010-3911 | 2007-03-01 |
| 1700936614 | Elizabeth Kovacevich | Marriage & Family Therapist | 627 Capitola Ave Ste A, Capitola, CA 95010-2790 | 2007-01-11 |
| Find all providers in CAPITOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.