Anne Marie Vitale, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY15764 Issued in CA

Practice address

610 D St
San Rafael, CA 94901-3708

Phone

(415) 456-4452

Fax

(415) 663-8788

NPI assigned

Nov 25, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1902889751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949561023",
            "telephone_number": "415-663-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013708",
            "telephone_number": "415-456-4452",
            "fax_number": "415-663-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY15764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simran K Virdee
• Vision Academy SF- an Optometric Corp.
• Visionary Healthcare
• Jazmine-Ciara Bayangos Visperas
• Amanda Vissering, LPCC, LMHC, PPSC
• Alisha Jean Vogt, LMFT
• Sheba Vohra, M.D.
• Nadia Smith Volk
• Rachel Fitzmaurice Von Doepp, IBCLC
• Otto A. Von Franque, MD

• Counseling Psychologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.