Provider Demographics
NPI:1114257201
Name:SCHMIDT, AMY M (MA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MA
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 1174
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-0174
Mailing Address - Country:US
Mailing Address - Phone:619-737-9118
Mailing Address - Fax:
Practice Address - Street 1:2215 ARTESIA BLVD UNIT 1174
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-6207
Practice Address - Country:US
Practice Address - Phone:619-737-9118
Practice Address - Fax:619-923-2424
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist