Individual provider Active NPI

Amiee Marie McGinnis

  • Licensed Psychiatric Technician
  • Concord, CA
National Provider Identifier
1730800053
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
31404 Issued in CA
Practice address
2158 Solano Way
Concord, CA 94520-4700
Phone
(925) 690-5710
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 167G00000X 31404 CA Primary

Addresses

Primary practice location

2158 Solano Way
Concord, CA 94520-4700

Mailing address

2158 Solano Way
Concord, CA 94520-4700

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

State licenses

LicenseStateTypeSpecialty
31404CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Research and Treatment, Inc CurrentSince Sep 11, 2022 Accepting new patients

Locations

2158 Solano Way
Concord, CA 94520
Phone (925) 690-5710

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1730800053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 SOLANO WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 SOLANO WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204700",
            "telephone_number": "925-690-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "AMIEE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "31404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.