Individual provider Active NPI

Darlene J Amidon-Brent, AMFT

  • Marriage & Family Therapist
  • Pleasanton, CA
National Provider Identifier
1407675648
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150285 Issued in CA
Practice address
4842 Bernal Ave Apt C
Pleasanton, CA 94566-1182
Phone
(408) 768-0890
NPI assigned
Oct 4, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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 150285 CA Primary

Addresses

Primary practice location

4842 Bernal Ave Apt C
Pleasanton, CA 94566-1182

Mailing address

4842 Bernal Ave Apt C
Pleasanton, CA 94566-1182
Phone (408) 768-0890

Other names 1

  • Darlene Amidon Professional name

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": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1407675648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 BERNAL AVE APT C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945661182",
            "telephone_number": "408-768-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 BERNAL AVE APT C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945661182",
            "telephone_number": "408-768-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIDON-BRENT",
        "first_name": "DARLENE",
        "middle_name": "J",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "AMIDON",
            "credential": "AMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.