DR. AMY P. BROM (NPI# 1861680845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861680845 |
| Entity Type | Individual |
| Full Name | DR. AMY P. BROM |
| Other Name | AMY A. PITTS |
| Credential | PSY.D. |
| Practice Address |
1600 Weeot Way Arcata CA 95521-4734 |
| Mailing Address |
6 Tarman Dr Cloverdale CA 95425-3932 |
| Practice Telephone | 7078255000 |
| Practice Fax Number | 7078256747 |
| Mailing Telephone | 7078944229 |
| Mailing Fax Number | 7078942954 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
PSY22123 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649594516 | Amy Brom | Counselor | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2010-03-22 |
| Street Address |
1600 WEEOT WAY |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751572 | United Indian Health Services, Inc. | Clinic/Center | 1600 Weeot Way, Arcata, CA 95521-4734 | 2005-06-23 |
| 1548731094 | Christina Casarez | Social Worker | 1600 Weeot Way, Arcata, CA 95521-4734 | 2018-12-10 |
| 1538665799 | Julia Duong | Dentist | 1600 Weeot Way, Arcata, CA 95521 | 2018-04-04 |
| 1457804619 | Grace Elaine Mcatasney | Nurse Practitioner | 1600 Weeot Way, Arcata, CA 95521-4734 | 2016-07-25 |
| 1194175307 | Dylan Mcclure | Social Worker | 1600 Weeot Way, Arcata, CA 95521-4734 | 2016-06-18 |
| 1295159440 | Heather Kyte | Physician Assistant | 1600 Weeot Way, Arcata, CA 95521-4734 | 2014-02-08 |
| 1265868780 | Andrea Sivavajchaipong | Dentist | 1600 Weeot Way, Arcata, CA 95521-4734 | 2013-09-16 |
| 1912269408 | Carol Elizabeth Griffin | Family Medicine | 1600 Weeot Way, Arcata, CA 95521-4734 | 2012-06-12 |
| 1205102365 | Zachery James Castiglione | Dentist | 1600 Weeot Way, Arcata, CA 95521-4734 | 2012-03-22 |
| 1467740662 | Hugh Kent | Family Medicine | 1600 Weeot Way, Arcata, CA 95521-4734 | 2011-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
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| 1801497607 | Michael J Hurtado | Psychologist | 5597 W Vartikian Ave, Fresno, CA 93722-3145 | 2020-11-06 |
| 1396374054 | Mark A Amparo | Psychologist | 5222 Balboa Ave Ste 33, San Diego, CA 92117-6953 | 2020-04-05 |
| 1043844459 | Nickolas Sloan Huston | Psychologist | 2371 W Main St Spc 57, Barstow, CA 92311-3614 | 2020-02-24 |
| 1366080418 | Denise Cherelle Rollins | Psychologist | 8619 Culpepper Dr, Sacramento, CA 95823-7658 | 2019-12-18 |
| 1124671136 | Ivan Butrus | Psychologist | 1516 Granite Hills Dr # Drb, El Cajon, CA 92019-5300 | 2019-07-18 |
| 1821659517 | Teresa Malyka Cheam | Psychologist | 301 The City Drive, Orange, CA 92868-3205 | 2019-06-24 |
| 1629633755 | Rans Shaaya | Psychologist | 520 Ballard St, El Cajon, CA 92019-2124 | 2019-05-03 |
| 1356823637 | Tin Joshua Pham | Psychologist | 1860 Walnut St. Suite A, Red Bluff, CA 96080-3611 | 2018-09-03 |
| 1184102238 | Ashley Jean Parker | Psychologist | 3575 Ridgewood Rd, Willits, CA 95490-9787 | 2018-08-01 |
| 1376039438 | Azia Brown | Psychologist | 365 Talbot Ave Apt M15, Pacifica, CA 94044-2667 | 2018-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.