Amber Nichole Modglin

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

102 Freedom CT
Vacaville, CA 95687-6777

Phone

(707) 631-5362

NPI assigned

Jul 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1245518950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FREEDOM CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876777",
            "telephone_number": "707-631-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FREEDOM CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876777",
            "telephone_number": "707-631-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODGLIN",
        "first_name": "AMBER",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Dimaculangan Miranda, RT
• Radu Mischiu, MD
• Devenkumar H Mistry, M.D.
• Amy Mitchell, MS CCC-SLP
• Amber Mobley
• Jackson Reza Moezi, D.D.S.
• Sean Daniel Moffett, DC
• Asma F Moflehi
• Alana Layla Mohammed
• Moheb DMD Inc

• Addiction (Substance Use Disorder) Counselor in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.