MEDICARE: SAIGOVIND DANDAPANI AMFT, APCC

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	101YP2500X	Professional Counselor	APCC21709	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	106H00000X	Marriage & Family Therapist	AMFT161053	CA

General Provider Information

NPI Number	:	1942048152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIGOVIND DANDAPANI AMFT, APCC

Provider Business Mailing Address
First Line	:	1217 34TH ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94608-4133
Country	:	US
Telephone Number	:	510-560-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	166 SANTA CLARA AVE STE 205
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-1323
Country	:	US
Telephone Number	:	510-601-1929
Fax Number	:	510-601-1947

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

Provider Enumeration Date	:	07/20/2024
Last Update Date	:	01/25/2026

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