Active NPI
Amada Battista, B.A.,IMFT
- Marriage & Family Therapist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 102607
- Practice address
- 2530 Wilshire Blvd Ste 300
Santa Monica, CA 90403-4659 - Phone
- (310) 402-0005
- Fax
- (310) 987-4655
- NPI assigned
- Jan 14, 2016
- Last updated
- Aug 31, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102607 | CA | Primary |
Addresses
Primary practice location
2530 Wilshire Blvd Ste 300
Santa Monica, CA 90403-4659
Mailing address
2530 Wilshire Blvd Ste 300
Santa Monica, CA 90403-4659
Phone (310) 402-0005
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.simplepractice.com/ | Health Information Exchange (HIE) |
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102607 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ab Family Therapist Professional Corporation | Mental Health | Current | Accepting new patients |
Locations
1247 7th St
Ste 300
Santa Monica, CA 90401
Phone (310) 893-1978
2530 Wilshire Blvd
Ste 300
Santa Monica, CA 90403
Phone (310) 402-0005
2730 Wilshire Blvd
Ste 650
Santa Monica, CA 90403
Phone (310) 828-7378
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Santa Monica, CA
- NPI 1316683741
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725062400000",
"number": "1821454240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 WILSHIRE BLVD STE 300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034659",
"telephone_number": "310-402-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 WILSHIRE BLVD STE 300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034659",
"telephone_number": "310-402-0005",
"fax_number": "310-987-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTISTA",
"first_name": "AMADA",
"credential": "B.A.,IMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102607",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.simplepractice.com/",
"affiliation": "N",
"endpointDescription": "Simple Practice",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2530 Wilshire Blvd Ste 300",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904034659",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.