Healthcare Provider Details

I. General information

NPI: 1508126939
Provider Name (Legal Business Name): AMIT SINGH AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 GARDEN CT
ANTIOCH CA
94509-2865
US

IV. Provider business mailing address

PO BOX 853
PITTSBURG CA
94565-0085
US

V. Phone/Fax

Practice location:
  • Phone: 925-778-4749
  • Fax:
Mailing address:
  • Phone: 925-778-4749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number141301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: