Amae Health Services, LLC
Organization Active NPI Clinical Psychologist · Los Altos, CA
NPI 1235944976 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1235944976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- AMAE HEALTH SERVICES, LLC
- Practice address
- 167 S San Antonio Rd
Los Altos, CA 94022-3046 - Phone
- (310) 601-5099
- Fax
- (888) 988-1786
- NPI assigned
- Feb 10, 2025
- Organization subpart
- No
Authorized official
- Name
- Mr. Stas Sokolin
- Title
- Cfo
- Phone
- (347) 407-0343
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2306818 | Amae Health Services LLC | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
Locations
167 S San Antonio Rd
Los Altos, CA 94022
Phone (310) 601-5099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes | ||
| Psychiatry Physician |
2084P0800X |
Addresses
Primary practice location
167 S San Antonio Rd
Los Altos, CA 94022-3046
Mailing address
3061 Fillmore St
San Francisco, CA 94123-4009
Phone (310) 601-5099
Other practice location 1
4000 Wake Forest Rd Ste 200
Raleigh, NC 27609-6859
Phone (984) 849-4342
Other practice location 2
1762 Westwood Blvd Ste 310
Los Angeles, CA 90024-5641
Phone (310) 601-5099
Other providers in Los Altos, CA
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- Altos Pediatric Associates PC
- Dhanvi Amin
- Nancy Andersen
- Ruth C. Anderson
- Michaela Andronic
- Todd S Anhalt
All providers in Los Altos, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.