Active NPI
Amanda Sue Dantes, PPS
- School Psychologist
- La Mesa, CA
National Provider Identifier
1962806992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 220214746
- Practice address
- 5300 Jackson Dr
La Mesa, CA 91942-6014 - Phone
- (619) 303-4344
- NPI assigned
- Oct 20, 2014
- Last updated
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 220214746 | CA | Primary |
Addresses
Primary practice location
5300 Jackson Dr
La Mesa, CA 91942-6014
Mailing address
5300 Jackson Dr
La Mesa, CA 91942-6014
Phone (619) 303-4344
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
| License | State | Type | Specialty |
|---|---|---|---|
| 220214746 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julian Charter School, LNC. | Current | Accepting new patients |
Locations
5300 Jackson Dr
La Mesa, CA 91942
Phone (619) 303-4344
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1962806992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 JACKSON DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426014",
"telephone_number": "619-303-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 JACKSON DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426014",
"telephone_number": "619-303-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTES",
"first_name": "AMANDA",
"middle_name": "SUE",
"credential": "PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "220214746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.