Healthcare Provider Details

I. General information

NPI: 1881571289
Provider Name (Legal Business Name): AMY MICHELLE WESTFALL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4351 BROADWAY
OAKLAND CA
94611-4612
US

IV. Provider business mailing address

3525 ERIS CT
WALNUT CREEK CA
94598-4669
US

V. Phone/Fax

Practice location:
  • Phone: 510-879-5003
  • Fax:
Mailing address:
  • Phone: 925-999-6165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: