Amanda Sorourbakhsh, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124935 Issued in CA

Practice address

1545 Hotel Cir S Ste 300
San Diego, CA 92108-3414

Phone

(619) 549-0329

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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

• Grow Through Life Counseling, Inc.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1801385745
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1265273304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HOTEL CIR S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HOTEL CIR S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083414",
            "telephone_number": "619-549-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROURBAKHSH",
        "first_name": "AMANDA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Sorin
• Mark William Sornson, M.D.
• Lisa Fern Sorokin, OTR/ CHT
• Arash Soroudi
• Mariam Sorour
• Cynthia E. Sorrell, MD
• Kim Elizier Sorrell, LMFT
• Atherton L Sorrenti, D.C
• Lisa Ann Sorrentino, RN
• Sorrento Compounding LLC

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Jun 3, 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.