Amy M Drahota, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

25593 Issued in CA

Practice address

3020 Children's Way
MC 5042
San Diego, CA 92123

Phone

(858) 966-7453

Fax

(858) 966-8011

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1952733529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261705",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921961705",
            "telephone_number": "858-966-7703",
            "fax_number": "858-966-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDREN'S WAY",
            "address_2": "MC 5042",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-966-7453",
            "fax_number": "858-966-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAHOTA",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "25593",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "25593",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "25593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "12553783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PSYCHOLOGY LICENSE",
            "identifier": "25593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Sophia Draf, MD
• David Draghinas, M.D.
• Dalija Dragisic, LMFT
• John Neil Dragneff Jr.
• Dragonfly Marriage and Family Counseling of San Diego Inc. (Dragonfly Counseling of San Diego)
• Bryan Drain
• Angela Irene Drake, PH.D.
• Jane H Drake, MPT
• Nicola C Drake
• Ramona Leigh Drake, MA, CADC II, CSC

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.