GLORIA AGUILAR BLANCEAGLE PSY.D.
NPI 1639600901
Psychologist - Clinical in Santa Cruz, CA

Q: What is Gloria Blanceagle's NPI number?

The NPI number for Gloria Blanceagle is 1639600901. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Gloria Blanceagle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Blanceagle was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

708 NOBEL DR UNIT C, SANTA CRUZ, CA 95060(831) 459-1818 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gloria Aguilar Blanceagle Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLORIA AGUILAR BLANCEAGLE PSY.D. (NPI 1639600901) is an individual clinical provider in Santa Cruz, California, licensed in California (28250) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639600901

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameGLORIA AGUILAR BLANCEAGLECredential: PSY.D.

Location Address708 NOBEL DR UNIT CSanta Cruz, CA 95060-2366

Mailing Address708 Nobel Dr Unit CSanta Cruz, CA 95060-2366 · (831) 459-1818

Phone(831) 459-1818

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 27, 2017

✔ NPI 1639600901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 28250

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

708 NOBEL DR UNIT C, Santa Cruz, CA 95060

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gloria Aguilar Blanceagle Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830605195

PECOS Enrollment IDI20250723001055

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$186.69 typical visit price

range $62.97 – $186.69

Typical copayment $46.67 (range $15.74 – $46.67)

Most-billed visit code 99205

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Blanceagle's NPI number?

The NPI number for Gloria Blanceagle is 1639600901. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Gloria Blanceagle located?

Gloria Blanceagle practices at 708 Nobel Dr Unit C, Santa Cruz, CA 95060. The listed phone number is (831) 459-1818.

What is Gloria Blanceagle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gloria Blanceagle enrolled in Medicare?

Yes. Gloria Blanceagle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gloria Blanceagle was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.