Individual provider Active NPI

Amy Doublet

  • Drama Therapist
  • Los Angeles, CA
National Provider Identifier
1245941194
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Drama TherapistTaxonomy code 101200000X
Practice address
3430 S Sepulveda Blvd Apt 304
Los Angeles, CA 90034-6049
Phone
(310) 463-5498
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Drama TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 101200000X Primary

Addresses

Primary practice location

3430 S Sepulveda Blvd Apt 304
Los Angeles, CA 90034-6049

Mailing address

3430 S Sepulveda Blvd Apt 304
Los Angeles, CA 90034-6049
Phone (310) 463-5498

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

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1245941194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 S SEPULVEDA BLVD APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346049",
            "telephone_number": "310-463-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 S SEPULVEDA BLVD APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346049",
            "telephone_number": "310-463-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLET",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.