Individual provider Active NPI

Amanda Dale, MS, MFTI

  • Marriage & Family Therapist
  • Alhambra, CA
National Provider Identifier
1770778474
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
101 S Atlantic Blvd
Alhambra, CA 91801-3256
Phone
(800) 998-6329
Fax
(866) 558-7507
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

101 S Atlantic Blvd
Alhambra, CA 91801-3256

Mailing address

1370 Brea Blvd
Suite 245
Fullerton, CA 92835-4125
Phone (800) 998-6329

Other names 1

  • Mandy Dale 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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Ministries, Inc. Past Accepting new patients
Turning Point Ministries, Inc Marriage & Family Therapist Past Accepting new patients

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1770778474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD",
            "address_2": "SUITE 245",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354125",
            "telephone_number": "800-998-6329",
            "fax_number": "866-558-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S ATLANTIC BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013256",
            "telephone_number": "800-998-6329",
            "fax_number": "866-558-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MS, MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "DALE",
            "credential": "MS, MFTI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.