Active NPI
Amanda Leah Leitner, LMFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1477079838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90324
- Practice address
- 1437 Leimert Blvd Ste a
Oakland, CA 94602-1849 - Phone
- (510) 463-4056
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 90324 | CA | Primary |
Addresses
Primary practice location
1437 Leimert Blvd Ste a
Oakland, CA 94602-1849
Mailing address
1064 Norwood Ave Apt C
Oakland, CA 94610-1863
Phone (909) 241-7907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90324 | Other | CA | CA BOARD OF BEHAVIORAL SCIENCES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90324 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1477079838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 NORWOOD AVE APT C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101863",
"telephone_number": "909-241-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 LEIMERT BLVD STE A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021849",
"telephone_number": "510-463-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITNER",
"first_name": "AMANDA",
"middle_name": "LEAH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "90324",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.