Individual provider Active NPI

Amandeep Kaur

  • Marriage & Family Therapist
  • Merced, CA
National Provider Identifier
1073041927
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139250 Issued in CA
Practice address
1020 W Main St
Merced, CA 95340-4521
Phone
(818) 398-6488
NPI assigned
May 23, 2017
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 139250 CA Primary

Addresses

Primary practice location

1020 W Main St
Merced, CA 95340-4521

Mailing address

1020 W Main St
Merced, CA 95340-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717000510 CA Practitioner - Mental Health Counselor 4880139674 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Marriage & Family Therapist Current Accepting new patients
San Joaquin County Public Health Services CurrentSince Apr 20, 2025 Accepting new patients
County of San Joaquin CurrentSince Apr 20, 2025 Accepting new patients
Glom Outpatient Services Inc. CurrentSince Nov 1, 2024 Accepting new patients
Glom Substance Abuse Program CurrentSince Jun 1, 2024 Accepting new patients
Glom Substance Abuse Program CurrentSince Jun 1, 2024 Accepting new patients
G.L.O.M. Global Inc. Current Accepting new patients

Locations

13386 Marengo Rd
Galt, CA 95632
Phone (925) 334-7186

3123 Independence Dr
Livermore, CA 94551
Phone (209) 330-7155

1111 W Tokay St
Ste A
Lodi, CA 95240
Phone (209) 412-2388

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1020 W Main St
Merced, CA 95340
Phone (209) 330-7155

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

130 W Flora St
Stockton, CA 95202
Phone (844) 456-6677

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1073041927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404521",
            "telephone_number": "818-398-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "AMANDEEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.