Provider Demographics
NPI:1851261853
Name:AMAR, AMICHI (PHD)
Entity type:Individual
Prefix:DR
First Name:AMICHI
Middle Name:
Last Name:AMAR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:AMICHAI
Other - Middle Name:
Other - Last Name:AMAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 591203
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94159-1203
Mailing Address - Country:US
Mailing Address - Phone:415-230-2328
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 591203
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94159-1203
Practice Address - Country:US
Practice Address - Phone:415-230-2328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-06
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT159086106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist