Amigas Mental Health Services

Primary specialty

SpecialistTaxonomy code 174400000X

License

400312000113 Issued in DC

Legal business name

AMIGAS MENTAL HEALTH SERVICES

Practice address

1419 V St NW # 309
Washington, DC 20009-5806

Phone

(202) 299-1169

Fax

(202) 567-6377

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Mark Haufrect

Title

Owner

Phone

(202) 329-9608

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1689947889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 V ST NW # 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095806",
            "telephone_number": "202-299-1169",
            "fax_number": "202-567-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 V ST NW # 309",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095806",
            "telephone_number": "202-299-1169",
            "fax_number": "202-567-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGAS MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "HAUFRECT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-329-9608"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "400312000113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Maih Amibang
• Yasmine Amibang
• Lauren A Amick, PHARMD
• Arlene Amidon, PHD
• Martha Amiewalan, CRNP
• Brittany Amigon, LMSW
• Gerald Achuo Amih
• Anish Amin, M.D.
• Binita Amin, PH.D.
• Florence Nyiawung Amin

• Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.