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DR. AMY P. BROM PSY.D.
NPI 1861680845
Psychologist - Health Service in Arcata, CA

Active since October 04, 2007PECOS EnrolledAccepts Medicare Assignment
1600 WEEOT WAY, ARCATA, CA 95521(707) 825-5000(707) 825-6747 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2026, Oct 25, 2019, Mar 8, 2018 (3 updates tracked since 2018).

About Dr. Amy P. Brom Psy.d. NPPES

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

DR. AMY P. BROM PSY.D. (NPI 1861680845) is an individual health service provider in Arcata, California, licensed in California (PSY22123) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861680845
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. AMY P. BROMCredential: PSY.D.
Location Address1600 WEEOT WAYArcata, CA 95521-4734
Mailing Address6 Tarman DrCloverdale, CA 95425-3932 · (707) 894-4229 · Fax (707) 894-2954
Phone(707) 825-5000
Fax(707) 825-6747
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 4, 2007
Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1861680845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in CA · PSY22123
Definition
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).
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 651209 (MS)
1600 WEEOT WAY, Arcata, CA 95521
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Other Names 1

Former Name (1)Amy A. Pitts

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amy P. Brom Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113163205
PECOS Enrollment IDI20130416000254
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Brom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
273 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Total Life Ca, P.C.
577 mi
Cognitive & Behavioral
6080 CENTER DR FL 6
Los Angeles, CA 90045
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Total Life Ca PC
  • 47 clinicians in this Medicare group
NPI 1689389603 (800) 567-5433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
165 services28 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
26 services26 patients

Other Providers at the Same Location NPPES 20

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

TIFFANY STROHBIN SUDRC
Counselor (Addiction (Substance Use Disorder))
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-5000
ROBERTA LARA RADT-1
Counselor (Addiction (Substance Use Disorder))
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-5060
JENNIFER ANN JACKSON RD
Dietitian, Registered
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-5000
JAMES MICHAEL RILEY O D
Optometrist
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-5000
MR. LANGDON TYRONE MARTIN
Counselor (Mental Health)
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-5060
SARAH D THIBAULT LCSW
Social Worker (Clinical)
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-5060
JOHN G JASO DDS
Dentist (General Practice)
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-4042
DR. ZACHERY JAMES CASTIGLIONE DDS
Dentist (General Practice)
1600 WEEOT WAY
ARCATA, CA 95521
Humboldt County (707) 825-5040

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 Amy Brom's NPI number?

The NPI number for Amy Brom is 1861680845. It was assigned to this individual provider in the NPPES registry on October 4, 2007. The provider is also known as Amy A. Pitts.

Where is Amy Brom located?

Amy Brom practices at 1600 Weeot Way, Arcata, CA 95521. The listed phone number is (707) 825-5000.

What is Amy Brom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Amy Brom enrolled in Medicare?

Yes. Amy Brom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amy Brom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Brom reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Total Life Ca, P.C. (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Brom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Brom was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.