Active NPI
Amanda Saragusti, PHD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1477098150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33523
- Practice address
- 3401 B Glendale Blvd
Los Angeles, CA 90039 - Phone
- (818) 422-6818
- NPI assigned
- Jan 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 33523 | CA | Primary |
Addresses
Primary practice location
3401 B Glendale Blvd
Los Angeles, CA 90039
Mailing address
21781 Ventura Blvd Unit 559
Woodland Hills, CA 91364-1835
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33523 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1477098150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21781 VENTURA BLVD UNIT 559",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 B GLENDALE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90039",
"telephone_number": "818-422-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARAGUSTI",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2023-02-22",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Ivan Sarabia
- Inna Sarac
- Theresa Saracho, RN, MSN, FNP
- Vrushali Saraf
- Raffi Sarafian, BCBA
- Sarah Darst Dental Corporation
- Sarah Dempe LCSW Genuine Therapy Solutions, Inc
- Sarah Farag, MD
- Sarah Jane Cella, Licensed Marriage and Family Therapist, Inc.
- Sarah Kelly Licensed Professional Clinical Counselor, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.