Individual provider Active NPI

Amanda Sue Dantes, PPS

  • School Psychologist
  • La Mesa, CA
National Provider Identifier
1962806992
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
220214746 Issued in CA
Practice address
5300 Jackson Dr
La Mesa, CA 91942-6014
Phone
(619) 303-4344
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
220214746CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julian Charter School, LNC. CurrentSince Dec 14, 2025 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.