MR. KEITH O'DELL AMADOR
NPI 1891127403
Marriage & Family Therapist in Stockton, CA

Q: What is Keith Amador's NPI number?

The NPI number for Keith Amador is 1891127403. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Q: What is Keith Amador's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Amador was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 06, 2013PECOS Enrolled

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8750(209) 468-2399 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Dec 8, 2023, Mar 8, 2018 (3 updates tracked since 2018).

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About Mr. Keith O'dell Amador NPPES

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

MR. KEITH O'DELL AMADOR (NPI 1891127403) is an individual marriage & family therapist in Stockton, California, licensed in California (102725) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891127403

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. KEITH O'DELL AMADOR

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8750 · Fax (209) 468-2399

Phone(209) 468-8750

Fax(209) 468-2399

Sole ProprietorNo

Enumeration DateAugust 6, 2013

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1891127403 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 · 102725

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.

1212 N CALIFORNIA ST, Stockton, CA 95202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Keith O'dell Amador is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))