Amy Corrine Bullard

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C036011015 Issued in CA

Practice address

2120 W Williams St Ste 1
Long Beach, CA 90810-3617

Phone

(562) 388-8118

NPI assigned

Feb 17, 2020

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Indian Changing Spirits

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
  • NPI 1780012674
  NPD (past)
• American Indian Changing Spirits

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
  • NPI 1841539921
  NPD (past)

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1245863422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W WILLIAMS ST STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W WILLIAMS ST STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103617",
            "telephone_number": "562-388-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "AMY",
        "middle_name": "CORRINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C036011015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuong Nguyen Bui, MD
• Vanessa Bui, LCSW
• Building Blocks Psychological Services
• Michael Buitron
• Jason Adrian Alonso Bulatao
• Tatiana Bullock
• Raymond Aruelo Bumanlag, LVN
• Fragrance Bumatay, NP
• Rick Martin Bunce
• Cheryl Chua Buncio, FNP

• Addiction (Substance Use Disorder) Counselor in Long Beach, CA
• Providers in Long Beach, 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 Feb 17, 2020; 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.