Active NPI
Amy Tomczak, MFT
- Marriage & Family Therapist
- Sebastopol, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 38736
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38736 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmind Online Ca Licensed Clinical Social Worker Prof Corp | Current | 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.
-
- Psychiatry Physician
- Palo Alto, CA
- NPI 1447871272
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.