NPIMap

Organization Active NPI

Amanda Sun, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
National Provider Identifier
1700409794
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMANDA SUN, LLC
Practice address
1122 Kenilworth Dr Ste 100
Towson, MD 21204-2142
Phone
(425) 233-9573
NPI assigned
May 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Amanda Yuan Sun, MDNPI 1598004186
Title
Psychiatrist
Phone
(425) 233-9573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1122 Kenilworth Dr Ste 100
Towson, MD 21204-2142

Mailing address

1122 Kenilworth Dr Ste 100
Towson, MD 21204-2142

National Provider Directory

National Provider Directory

Locations

1122 Kenilworth Dr
Ste 100
Towson, MD 21204
Phone (410) 881-3921

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1700409794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042142",
            "telephone_number": "425-233-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA SUN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "YUAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "425-233-9573",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.