Individual provider Active NPI

Amy Diane Kaltenbach, AMFT

  • Marriage & Family Therapist
  • Valencia, CA
National Provider Identifier
1366922924
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
25000 Avenue Stanford Unit 104
Valencia, CA 91355-1224
Phone
(818) 600-2034
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 Primary

Addresses

Primary practice location

25000 Avenue Stanford Unit 104
Valencia, CA 91355-1224

Mailing address

4153 Paredo Way Unit C
Simi Valley, CA 93063-0133
Phone (805) 501-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 28, 2024 through Aug 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121651CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New U Therapy Center & Family Services Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1366922924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 PAREDO WAY UNIT C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930630133",
            "telephone_number": "805-501-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD UNIT 104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551224",
            "telephone_number": "818-600-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENBACH",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.