Individual provider Active NPI

Amy L. W. Scott, M.A., MFT

  • Marriage & Family Therapist
  • Brentwood, CA
National Provider Identifier
1265595508
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41322 Issued in CA
Practice address
191 Sand Creek Rd Ste 215
Brentwood, CA 94513-2220
Phone
(925) 325-1728
Fax
(925) 464-1142
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 MFC 41322 CA Primary

Addresses

Primary practice location

191 Sand Creek Rd Ste 215
Brentwood, CA 94513-2220

Mailing address

191 Sand Creek Rd Ste 215
Brentwood, CA 94513-2220
Phone (925) 325-1728

Other practice location 1

815 1st St Ste 5
Brentwood, CA 94513-1165
Phone (925) 325-1728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 41322CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265595508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SAND CREEK RD STE 215",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132220",
            "telephone_number": "925-325-1728",
            "fax_number": "925-464-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SAND CREEK RD STE 215",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132220",
            "telephone_number": "925-325-1728",
            "fax_number": "925-464-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 1st St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945131165",
            "country_code": "US",
            "telephone_number": "925-325-1728",
            "fax_number": "925-516-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "AMY",
        "middle_name": "L. W.",
        "name_prefix": "Mrs.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.