Provider Demographics
NPI:1811695026
Name:NUDEL, REBECCA SILLS
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SILLS
Last Name:NUDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 TOWNSGATE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2414
Mailing Address - Country:US
Mailing Address - Phone:805-272-0099
Mailing Address - Fax:
Practice Address - Street 1:2277 TOWNSGATE RD STE 100
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2414
Practice Address - Country:US
Practice Address - Phone:805-272-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist