Provider Demographics
NPI:1477040806
Name:KAMATH, SHEELA (AMFT, APCC)
Entity Type:Individual
Prefix:MS
First Name:SHEELA
Middle Name:
Last Name:KAMATH
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6661
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94524-1661
Mailing Address - Country:US
Mailing Address - Phone:925-487-9546
Mailing Address - Fax:
Practice Address - Street 1:3031 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3205
Practice Address - Country:US
Practice Address - Phone:510-596-8125
Practice Address - Fax:510-225-2745
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA117449106H00000X
CA7238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional