Amy P. Brom, PSY.D.
Individual provider Active NPI Health Service Psychologist · Arcata, CA
NPI 1861680845 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1861680845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Psychologist 103TH0100X
- License
- PSY22123 (CA)
- Practice address
- 1600 Weeot Way
Arcata, CA 95521-4734 - Phone
- (707) 825-5000
- Fax
- (707) 825-6747
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sud Specialty Group - Ca
Practice addresses (Care Compare)
4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130416000254 | CA | Practitioner - Clinical Psychologist | 7113163205 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651209 | MS | MD | Clinical Psychologist |
| 22123 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Ca, P.C. | Current |
Accepting new patients | |
| Sud Specialty Group - Ca | Current |
Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 651209 | MS | |
| Health Service Psychologist | 103TH0100X | PSY22123 | CA | Yes |
Addresses
Primary practice location
1600 Weeot Way
Arcata, CA 95521-4734
Mailing address
6 Tarman Dr
Cloverdale, CA 95425-3932
Phone (707) 894-4229
Other names
- Amy A. Pitts
Other providers in Arcata, CA
- Annette Breshears-McLean
- Jenoa Briar-Bonpane
- Kevin L Brink
- Jonathan Peter Broadhurst
- Dayna L Brockman
- Carrie R. K. Brothers
- Adam Brown
- Bridget Brown
- Chad Brown
- Jennifer Valerie Brown
All providers in Arcata, CA · Health Service Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.