AMC Mental Health, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

AMC MENTAL HEALTH, LLC

Practice address

263 Vietnam Veterans Highway
Mangilao, GU 96913

Phone

(671) 647-8262

Fax

(671) 647-5252

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hoa Van Nguyen, M.D.NPI 1215086152

Title

President

Phone

(671) 647-8262

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hoa Van Nguyen, MD

  • Family Medicine Physician
  • Upper Tumon, GU
  • NPI 1215086152
  NPD (past) Authorized official
• Vincent Taijeron Akimoto, MD

  • Family Medicine Physician
  • Upper Tumon, GU
  • NPI 1396871919
  NPD (past)
• Ma Cristina Quemada Manaloto, MD

  • Pediatrics Physician
  • Tamuning, GU
  • NPI 1275669889
  NPD (past)
• Kirstin Maree Anderson Raguindin, DO

  • Family Medicine Physician
  • Tamuning, GU
  • NPI 1164044285
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1700346541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N. MARINE CORPS DR.",
            "city": "UPPER TUMON",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-8262",
            "fax_number": "671-647-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 VIETNAM VETERANS HIGHWAY",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-8262",
            "fax_number": "671-647-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOA",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "671-647-8262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leopoldo Clava Arcilla Jr., MD
• Leonard Patrick Campos, DPT
• Cynthia Nunez Dumlao-Taitano, NP
• Frank S. Borja (Performance Mobility Solutions)
• Government of Guam Department of Administration (Central Public Health)

• Counselor in Mangilao, GU
• Providers in Mangilao, GU by specialty
• Counselor in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.