Active NPI
Sitar Dinesh Mody, MA AMFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1780296236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT109847
- 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
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 | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT109847 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sankofa Holistic Counseling Services, a Professional Clinical Social W | Current | Accepting new patients |
Locations
614 Grand Ave
Ste 203
Oakland, CA 94610
Phone (510) 433-0244
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Oakland, CA
- NPI 1740602549
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.