Individual provider Active NPI

Amy A Sanseverino

  • Marriage & Family Therapist
  • Richmond, TX
National Provider Identifier
1003128612
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202539 Issued in TX
Practice address
2116 Thompson Rd Ste 107
Richmond, TX 77469-5415
Phone
(346) 440-1394
Fax
(832) 471-6544
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 202539 TX Primary

Addresses

Primary practice location

2116 Thompson Rd Ste 107
Richmond, TX 77469-5415

Mailing address

2116 Thompson Rd Ste 107
Richmond, TX 77469-5415
Phone (346) 440-1394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202539TXMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1003128612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 THOMPSON RD STE 107",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695415",
            "telephone_number": "346-440-1394",
            "fax_number": "832-471-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 THOMPSON RD STE 107",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695415",
            "telephone_number": "346-440-1394",
            "fax_number": "832-471-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSEVERINO",
        "first_name": "AMY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.