Provider Demographics
NPI:1619854544
Name:CAVE, AMANDA RACHEAL (AMFT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:RACHEAL
Last Name:CAVE
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 ATTLEBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139-2945
Mailing Address - Country:US
Mailing Address - Phone:619-804-1543
Mailing Address - Fax:
Practice Address - Street 1:1666 PRECISION PARK LN
Practice Address - Street 2:
Practice Address - City:SAN YSIDRO
Practice Address - State:CA
Practice Address - Zip Code:92173-1346
Practice Address - Country:US
Practice Address - Phone:619-804-1543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156521106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist