Individual provider Active NPI

Amy Tomczak, MFT

  • Marriage & Family Therapist
  • Sebastopol, CA
National Provider Identifier
1992171649
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
38736 Issued in CA
Practice address
536 S Main St
Sebastopol, CA 95472-4261
Phone
(415) 820-1458
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 38736 CA Primary

Addresses

Primary practice location

536 S Main St
Sebastopol, CA 95472-4261

Mailing address

536 S Main St
Sebastopol, CA 95472-4261
Phone (415) 820-1458

Other practice location 1

2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307
Phone (833) 646-3243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001839 CA Practitioner - Marriage and Family Therapist 2466980818 Reassigns benefits to 1 organization
Practice locations: Sebastopol, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

536 S Main St
Sebastopol, CA 95472-4261
Phone (415) 595-8134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38736CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp CurrentSince Apr 11, 2025 Accepting new patients

Locations

16501 Ventura Blvd
Encino, CA 91436
Phone (818) 356-8106

888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609

2100 Geng Rd
Ste 210
Palo Alto, CA 94303
Phone (650) 383-0279

980 9th St
Sacramento, CA 95814

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006

2450 Colorado Ave
Santa Monica, CA 90404

3558 Round Barn Blvd
Santa Rosa, CA 95403
Phone (707) 571-3754

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1992171649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 S MAIN ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724261",
            "telephone_number": "415-820-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S MAIN ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724261",
            "telephone_number": "415-820-1458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Geng Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943033307",
            "country_code": "US",
            "telephone_number": "833-646-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "AMY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "38736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.