Active NPI
Amal Abdulkadir, NP
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95029375
- Practice address
- 5060 Shoreham PL Ste 330
San Diego, CA 92122-5976 - Phone
- (877) 840-6956
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2281356 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CMP191017 | ME | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95029375 | CA | Primary |
Addresses
Primary practice location
5060 Shoreham PL Ste 330
San Diego, CA 92122-5976
Mailing address
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950
Other practice location 1
1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 414-5245
Other practice location 2
93 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8700
Other practice location 3
93 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110111365A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME, TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140912001715 | MA | Practitioner - Nurse Practitioner | 3577782168 | Reassigns benefits to 2 organizations |
| I20190802001313 | ME | Practitioner - Nurse Practitioner | 3577782168 | Reassigns benefits to 1 organization |
| I20230307000443 | TX | Practitioner - Nurse Practitioner | 3577782168 | Reassigns benefits to 1 organization |
| I20250505002375 | CA | Practitioner - Nurse Practitioner | 3577782168 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindful Health Solutions a Professional Medical Corporation
Practice addresses (Care Compare)
360 Post St
Suite 1000
San Francisco, CA 94108-4913
Phone (415) 964-5137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281356 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| The McLean Hospital Corporation | Current | Accepting new patients | |
| Headlight Health Medical Group PLLC | Current | Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Bridgewell, Inc | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mindful Health Solutions a Professional Medical Corporation | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Sokyahealth Medical Group PC | Current | Accepting new patients |
Locations
2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060
1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380
3300 Webster St
Ste 803
Oakland, CA 94609
5060 Shoreham Pl
Ste 230
San Diego, CA 92122
5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998
360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819
360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
125 Liberty St
Ste 2
Danvers, MA 01923
Phone (978) 750-6820
23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- amal.abdulkadir.p1@direct.sokya.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1881894483
CA
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- Psychiatry Physician
- San Diego, CA
- NPI 1649064486
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Critical Access Hospital
- Belfast, ME
- NPI 1265912075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1396937751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8950",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 SHOREHAM PL STE 330",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225976",
"telephone_number": "877-840-6956"
}
],
"practiceLocations": [
{
"address_1": "1 Boston Medical Ctr Pl",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182908",
"country_code": "US",
"telephone_number": "617-414-5245",
"fax_number": "617-638-6836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "93 Campus Ave",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "04240",
"country_code": "US",
"telephone_number": "207-777-8700",
"fax_number": "207-777-8826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "93 Campus Ave",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "04240",
"country_code": "US",
"telephone_number": "207-777-8700",
"fax_number": "207-777-8826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDULKADIR",
"first_name": "AMAL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "2281356",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CMP191017",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95029375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110111365A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.