Amanda Tracey Duggan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9503348 Issued in CA

Practice address

24972 Avenida Veraneo
Lake Forest, CA 92630-2226

Phone

(949) 285-9169

NPI assigned

Dec 24, 2024

Last updated

Dec 24, 2024By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Health Services IncGroup PAC ID 1355748021, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Thomas Health Services Inc

  dba Bonmente

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1659972099
  Medicare reassignment Care Compare group NPD
• Nebula Health, LLC

  • Adult Mental Health Clinic/Center
  • Riverside, CA
  • NPI 1194479501
  Medicare reassignment NPD
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009
  Medicare reassignment
• One Health Center, Inc.

  • Community Health Clinic/Center
  • Upland, CA
  • NPI 1265272736
  Medicare reassignment
• Stephens Medical Corporation

  dba Altitude Wellness

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1235839002
  NPD (past)

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1467260307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24972 AVENIDA VERANEO",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302226",
            "telephone_number": "949-285-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24972 AVENIDA VERANEO",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302226",
            "telephone_number": "949-285-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "AMANDA",
        "middle_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "9503348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC (Greenlight Chiropractic & Wellness Lab)
• Dr. Brett Long, Longevity Chiropractic, Inc
• Josh Drake, DC
• Miriam Stephens Drake, M.E.D
• Drchriscounseling LLC
• Wendy Duran, RCFE ADMIN
• Alyssa Marie Eastland, P.T.A
• Eastwest Homecare Orange Inc (Interim Healthcare Orange)
• Eat Play Love
• Yassamin Ebrahiminassimi, PHARM-D

• Psychiatric/Mental Health Nurse Practitioner in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.

Verify at the official NPI Registry.