Individual provider Active NPI

Trudy Kammerer, AMFT

  • Marriage & Family Therapist
  • Palo Alto, CA
National Provider Identifier
1912361270
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 79865 Issued in CA
Practice address
2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307
Phone
(833) 646-3243
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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 IMF 79865 CA Primary

Addresses

Primary practice location

2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307

Mailing address

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone (760) 233-6003

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
IMF 79865CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1912361270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17701 SAN PASQUAL VALLEY RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255301",
            "telephone_number": "760-233-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GENG RD STE 210",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033307",
            "telephone_number": "833-646-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMERER",
        "first_name": "TRUDY",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 79865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.