Provider Demographics
NPI:1508126939
Name:SINGH, AMIT (AMFT)
Entity type:Individual
Prefix:
First Name:AMIT
Middle Name:
Last Name:SINGH
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 MOUNTAIN MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-6759
Mailing Address - Country:US
Mailing Address - Phone:408-881-3604
Mailing Address - Fax:
Practice Address - Street 1:972 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2931
Practice Address - Country:US
Practice Address - Phone:628-626-1327
Practice Address - Fax:844-364-0133
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141301106H00000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist