Amie Deitel, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

145328 Issued in CA

Practice address

925 Broadbeck Dr Ste 225
Newbury Park, CA 91320-1272

Phone

(805) 628-2108

NPI assigned

Mar 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1215795190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 VIA OVIEDO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913207059",
            "telephone_number": "858-204-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BROADBECK DR STE 225",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201272",
            "telephone_number": "805-628-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITEL",
        "first_name": "AMIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Theresa Cummings-Lilly, LCSW
• Dallas Sleep Services LLC
• Laurel B Davis, OTR/L
• Destiny De Alba, PT, DPT
• Jordyn C Defalco
• Jimmy Del Villar, NONE
• Sunnie Delano, RDN
• Denis Paul Dempsey, P.T.
• Ricardo Emilio Dent-Acosta, M.D.
• Emily Louise Derrick, MA

• Marriage & Family Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.