Individual provider Active NPI

Paolina Amadio, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1811169717
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT42559 Issued in CA
Practice address
1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone
(310) 439-8764
NPI assigned
Mar 31, 2008
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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 LMFT42559 CA Primary

Addresses

Primary practice location

1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013

Mailing address

8335 Winnetka Ave
PMB 445
Winnetka, CA 91306-1630
Phone (310) 439-8764

Other practice location 1

1721 Artesia Blvd. Suite E
Manhattan Beach, CA 90266-2632
Phone (310) 439-8764

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

LicenseStateTypeSpecialty
LMFT42559CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1811169717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 WINNETKA AVE",
            "address_2": "PMB 445",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913061630",
            "telephone_number": "310-439-8764",
            "fax_number": "310-633-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257013",
            "telephone_number": "310-439-8764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Artesia Blvd. Suite E",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662632",
            "country_code": "US",
            "telephone_number": "310-439-8764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADIO",
        "first_name": "PAOLINA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT42559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.