Active NPI
Amador Institute
- Community/Behavioral Health Agency
- Antioch, CA
National Provider Identifier
1003955600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFC22411
- Legal business name
- AMADOR INSTITUTE
- Practice address
- 3701 Lone Tree Way Ste 7And4A
Antioch, CA 94509-6038 - Phone
- (925) 778-3800
- Fax
- (925) 778-3915
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patsy Lee Phillips, LMFT
- Title
- Director
- Phone
- (925) 778-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MFC22411 | CA | Primary |
Addresses
Primary practice location
3701 Lone Tree Way Ste 7And4A
Antioch, CA 94509-6038
Mailing address
3701 Lone Tree Way, Ste. 7 and 4a
Antioch, CA 94509
Phone (925) 778-3800
Other practice location 1
3701 Lone Tree Way, Ste. 7 and 4A
Antioch, CA 94509
Phone (925) 778-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000007GW | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1003955600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LONE TREE WAY, STE. 7 AND 4A",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-778-3800",
"fax_number": "925-778-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LONE TREE WAY STE 7AND4A",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096038",
"telephone_number": "925-778-3800",
"fax_number": "925-778-3915"
}
],
"practiceLocations": [
{
"address_1": "3701 Lone Tree Way, Ste. 7 and 4A",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "94509",
"country_code": "US",
"telephone_number": "925-778-3800",
"fax_number": "925-778-3915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMADOR INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "PATSY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "925-778-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "MFC22411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000007GW",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.