SACRED TREE THERAPY
NPI 1922710029
Psychologist - Clinical in El Cajon, CA

Q: What is Sacred Tree Psychotherapy PC's NPI number?

The NPI number for Sacred Tree Psychotherapy PC is 1922710029. It was assigned to this organization in the NPPES registry on December 20, 2022. The provider is doing business as Sacred Tree Therapy.

Q: What is Sacred Tree Psychotherapy PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 20, 2022

411 S MAGNOLIA AVE, EL CAJON, CA 92020(619) 333-6574 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 9, 2024, Mar 5, 2024, Dec 6, 2023 and 2 more (5 updates tracked since 2022).

On this page

About Sacred Tree Therapy NPPES

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

SACRED TREE THERAPY (NPI 1922710029) is a healthcare organization registered as a clinical in El Cajon, California and active in the NPI registry since December 2022. The organization lists Amanda Zora, Clinical Psychologist/ceo, as its authorized official.

NPPES Registry Identity

NPI1922710029

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSACRED TREE PSYCHOTHERAPY PC

Location Address411 S MAGNOLIA AVEEl Cajon, CA 92020-5212

Mailing Address411 S Magnolia AveEl Cajon, CA 92020-5212 · (619) 938-4108 · Fax (619) 332-2690

Phone(619) 333-6574

Organization SubpartNo

Authorized OfficialAmanda ZoraClinical Psychologist/ceo · (619) 333-6574

Enumeration DateDecember 20, 2022

Last NPPES UpdateDecember 9, 20245 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1922710029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

411 S MAGNOLIA AVE, El Cajon, CA 92020

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Other Names 1

Doing Business AsSacred Tree Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacred Tree Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sacred Tree Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Zora, PSYD

Clinical Psychologist

NPI 1457729485

411 S MAGNOLIA AVE
El Cajon, CA 92020

(619) 938-4108

✔ PECOS✔ Accepts MedicareSame address

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

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 Sacred Tree Psychotherapy PC's NPI number?

The NPI number for Sacred Tree Psychotherapy PC is 1922710029. It was assigned to this organization in the NPPES registry on December 20, 2022. The provider is doing business as Sacred Tree Therapy.

Where is Sacred Tree Psychotherapy PC located?

Sacred Tree Psychotherapy PC is located at 411 S Magnolia Ave, El Cajon, CA 92020. The listed phone number is (619) 333-6574.

What is Sacred Tree Psychotherapy PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Sacred Tree Psychotherapy PC enrolled in Medicare?

Yes. Sacred Tree Psychotherapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacred Tree Psychotherapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sacred Tree Psychotherapy PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sacred Tree Psychotherapy PC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.