Individual provider Active NPI

Amanda Duwick, PMHNP-BC, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Westlake Village, CA
National Provider Identifier
1710344999
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95006841 Issued in CA
Practice address
31111 Agoura Rd Ste 100
Westlake Village, CA 91361-4450
Phone
(805) 750-5074
NPI assigned
Jan 19, 2016
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95006841 CA Primary

Addresses

Primary practice location

31111 Agoura Rd Ste 100
Westlake Village, CA 91361-4450

Mailing address

23333 Ida PL
Chatsworth, CA 91311-6416
Phone (818) 314-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95006841CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Operations, LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

31111 Agoura Rd
Ste 100
Westlake Vlg, CA 91361
Phone (714) 296-3393

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1710344999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23333 IDA PL",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116416",
            "telephone_number": "818-314-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31111 AGOURA RD STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614450",
            "telephone_number": "805-750-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUWICK",
        "first_name": "AMANDA",
        "credential": "PMHNP-BC, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.