Individual provider Active NPI

Sitar Dinesh Mody, MA AMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1780296236
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT109847 Issued in CA
Practice address
614 Grand Ave Ste 203
Oakland, CA 94610-3554
Phone
(510) 433-0244
Fax
(510) 380-6525
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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 AMFT109847 CA Primary

Addresses

Primary practice location

614 Grand Ave Ste 203
Oakland, CA 94610-3554

Mailing address

PO Box 27195
Oakland, CA 94602-0195
Phone (510) 213-8001

Other names 1

  • Sitar Mody Scott Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SITAR@SANKOFATHERAPY.COM

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 Arts

State licenses

LicenseStateTypeSpecialty
AMFT109847CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sankofa Holistic Counseling Services, a Professional Clinical Social W CurrentSince Aug 23, 2020 Accepting new patients

Locations

614 Grand Ave
Ste 203
Oakland, CA 94610
Phone (510) 433-0244

Interoperability endpoints

  • Direct secure messaging: sitar@sankofatherapy.com

Organizations & group practices 1

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1780296236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27195",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946020195",
            "telephone_number": "510-213-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GRAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103554",
            "telephone_number": "510-433-0244",
            "fax_number": "510-380-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "SITAR",
        "middle_name": "DINESH",
        "credential": "MA AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT109847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SITAR@SANKOFATHERAPY.COM",
            "affiliation": "N",
            "endpointDescription": "PROFESSIONAL EMAIL ADDRESS",
            "address_1": "614 Grand Ave Ste 203",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946103554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SITAR",
            "last_name": "MODY SCOTT",
            "credential": "MA AMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 19, 2020; 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.