MEDICARE: AMIT SINGH AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	141301	CA

General Provider Information

NPI Number	:	1508126939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT SINGH AMFT

Provider Business Mailing Address
First Line	:	424 MOUNTAIN MEADOWS DR
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-6759
Country	:	US
Telephone Number	:	408-881-3604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 W MARCH LN STE C
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-6414
Country	:	US
Telephone Number	:	916-364-8395
Fax Number	:	209-636-5356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	01/23/2026

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