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DR. JOHN AMODEO MFT
NPI 1093177651
Marriage & Family Therapist in San Rafael, CA

Active since March 23, 2016Opted out of Medicare · through Jan 1, 2028
1368 LINCOLN AVE, SUITE 212, SAN RAFAEL, CA 94901(707) 829-8948 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Amodeo Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN AMODEO MFT (NPI 1093177651) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFC14453) and active in the NPI registry since March 2016. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1093177651
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. JOHN AMODEOCredential: MFT
Location Address1368 LINCOLN AVE, SUITE 212San Rafael, CA 94901-2147
Mailing Address1368 Lincoln Ave, Suite 212San Rafael, CA 94901-2147 · (707) 829-8948
Phone(707) 829-8948
Sole ProprietorYes
Enumeration DateMarch 23, 2016
✔ NPI 1093177651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC14453
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1368 LINCOLN AVE, San Rafael, CA 94901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Amodeo Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAN CHRISTIAN STRIBOLT
Counselor (Mental Health)
1368 LINCOLN AVE, SUITE 212
SAN RAFAEL, CA 94901
Marin County (415) 485-1614
MR. KENITH ALAN GOODMAN M.A., MFT
Marriage & Family Therapist
1368 LINCOLN AVE, SUITE 214
SAN RAFAEL, CA 94901
Marin County (415) 487-4313
STACY R. BISCHOFF, RN, NP, PC
Skilled Nursing Facility
1368 LINCOLN AVE, SUITE 109
SAN RAFAEL, CA 94901
Marin County (415) 454-4325
DR. BARBARA CHRISTINE PIKE-ARMBRUST BPHE, DC
Chiropractor
1368 LINCOLN AVE, STE 109
SAN RAFAEL, CA 94901
Marin County (415) 454-4325
MRS. DARIA SIEVERS LCSW
Social Worker (Clinical)
1368 LINCOLN AVE, SUITE 211
SAN RAFAEL, CA 94901
Marin County (415) 302-9130
ALICIA ROBERTS
Physical Therapist
1368 LINCOLN AVE, 106
SAN RAFAEL, CA 94901
Marin County (415) 578-5524
DR. MARTIN J BORGE D.C.
Chiropractor
1368 LINCOLN AVE, 109
SAN RAFAEL, CA 94901
Marin County (415) 454-4325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Amodeo's NPI number?

The NPI number for John Amodeo is 1093177651. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is John Amodeo located?

John Amodeo practices at 1368 Lincoln Ave Suite 212, San Rafael, CA 94901. The listed phone number is (707) 829-8948.

What is John Amodeo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is John Amodeo enrolled in Medicare?

No. John Amodeo has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Amodeo was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.