NPIMap

Amen Clinics, Inc Walnut Creek

Organization Active NPI Diagnostic Neuroimaging (Psychiatry & Neurology) Physician · Walnut Creek, CA

NPI 1669988044 · NPPES record last updated Jun 24, 2020

Key facts

NPI
1669988044
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X
Legal business name
AMEN CLINICS, INC WALNUT CREEK
Practice address
350 N Wiget LN Ste 105
Walnut Creek, CA 94598-5960
Phone
(650) 416-7830
Fax
(650) 871-8874
NPI assigned
Dec 20, 2017
Organization subpart
Yes
Parent organization (as reported)
AMEN CLINICS, INC

Authorized official

Name
Christina T McCormick
Title
Corporate Trainer
Phone
(703) 880-4000

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Amen Clinics Inc Walnut Creek (11 organizations share this tax ID)
Part of
Amen Clinics Inc Walnut Creek

Locations

350 N Wiget Ln
Ste 105
Walnut Creek, CA 94598
Phone (650) 416-7830

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084D0003X Yes

Addresses

Primary practice location

350 N Wiget LN Ste 105
Walnut Creek, CA 94598-5960

Mailing address

350 N Wiget LN Ste 105
Walnut Creek, CA 94598-5960
Phone (650) 416-7830

Other providers in Walnut Creek, CA

All providers in Walnut Creek, CA · Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in California

Sources for this page

Verify at the official NPI Registry.