Amrita Family Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AMRITA FAMILY THERAPY

Practice address

30 N San Pedro Rd Ste 265
San Rafael, CA 94903-4153

Phone

(415) 570-2270

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Carol Beth NormandiNPI 1891187316

Title

Ceo

Phone

(415) 342-5082

Specialties & licenses 1

Addresses

Other names 1

• Amrita Eating Disorder Treatment Center Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Normandi, MS, LMFT

  • Marriage & Family Therapist
  • San Rafael, CA
  • NPI 1891187316
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1366012783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N SAN PEDRO RD STE 265",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034153",
            "telephone_number": "415-570-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N SAN PEDRO RD STE 265",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034153",
            "telephone_number": "415-570-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRITA FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "NORMANDI",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-342-5082"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.amritaedt.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "30 N San Pedro Rd Ste 265",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949034153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amrita Eating Disorder Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Amato
• Araceli Amaton Lozano, PA
• Hamid Ameli, PHARMD
• Alan S. Ament, MD
• John Amodeo, MFT
• Kayla Andersen
• Kristin Andersen
• Derik Anderson, DC
• Joseph Michael Anderson, M.D.
• Rebecca Jean Anderson, PTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.