Amoma, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

AP60643395 Issued in WA

Legal business name

AMOMA, PLLC

Practice address

1314 S Grand Blvd Ste 2
Spokane, WA 99202-1174

Phone

(813) 955-2827

Fax

(866) 611-7552

NPI assigned

Feb 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Archiel Buagas-Kintanar, ARNP, PMHNP-BC

Title

Provider/Owner

Phone

(509) 228-8323

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• AMOMA, LLC Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1215475744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112608",
            "telephone_number": "509-228-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S GRAND BLVD STE 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021174",
            "telephone_number": "813-955-2827",
            "fax_number": "866-611-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "BUAGAS-KINTANAR",
        "authorized_official_first_name": "ARCHIEL",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "509-228-8323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "AP60643395",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "AP60643395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942560263",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMOMA, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AMOMA, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ricki Amis, MSW
• Sami Imran Amjad, M.D.
• Jennie Rebecca Ammerman, LMHCA
• Gwendolyn Ammon
• Jazmin Ammons
• Paolo-Miguel Alcaide Amor
• Amore Health & Wellness LLP
• Angela Marie Amos
• Vladimir Amplyeyev
• Jenna Stefania Ampulski

• Psychiatry Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.