Organization Active NPI

Amanda Marie Espy Family Therapy, Inc.

Doing business as Field Psychology

  • Community/Behavioral Health Agency
  • Santa Monica, CA
National Provider Identifier
1982310470
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMANDA MARIE ESPY FAMILY THERAPY, INC.
Doing business as
Field Psychology
Practice address
827 4TH St Apt 408
Santa Monica, CA 90403-1277
Phone
(424) 291-1249
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Authorized official

Name
Amanda Marie EspyNPI 1760950109
Title
President
Phone
(424) 291-1249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

827 4TH St Apt 408
Santa Monica, CA 90403-1277

Mailing address

827 4TH St Apt 408
Santa Monica, CA 90403-1277
Phone (424) 291-1249

Other identifiers 2

IdentifierTypeStateIssuer
1760950109OtherCANPI
1760950109MedicaidCA

Other names 1

  • Field Psychology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912002916 CA Part B Supplier - Clinic/Group Practice 9638619976 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722729600000",
    "number": "1982310470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 4TH ST APT 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031277",
            "telephone_number": "424-291-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 4TH ST APT 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031277",
            "telephone_number": "424-291-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA MARIE ESPY FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "ESPY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-291-1249"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760950109",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760950109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Field Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Field Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.