Individual provider Active NPI

Amanda Zora, PSYD

  • Psychologist
  • El Cajon, CA
National Provider Identifier
1457729485
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY31269 Issued in CA
Practice address
411 S Magnolia Ave
El Cajon, CA 92020-5212
Phone
(619) 938-4108
Fax
(619) 332-2690
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY31269 CA Primary

Addresses

Primary practice location

411 S Magnolia Ave
El Cajon, CA 92020-5212

Mailing address

411 S Magnolia Ave
El Cajon, CA 92020-5212
Phone (619) 938-4108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225002311 CA Practitioner - Clinical Psychologist 6406240985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

411 S Magnolia Ave
El Cajon, CA 92020-5212
Phone (619) 938-4108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31269CAMDPsychologist
31269CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Tree Psychotherapy PC CurrentSince Jan 9, 2023 Accepting new patients
Dap Health, Inc. Current Accepting new patients

Locations

411 S Magnolia Ave
El Cajon, CA 92020
Phone (619) 442-1271

133 W Main St
Ste 100
El Cajon, CA 92020
Phone (619) 401-0404

1530 Jamacha Rd
Ste X
El Cajon, CA 92019
Phone (619) 333-6574

Organizations & group practices 2

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1457729485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205212",
            "telephone_number": "619-938-4108",
            "fax_number": "619-332-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205212",
            "telephone_number": "619-938-4108",
            "fax_number": "619-332-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORA",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.