Active NPI
Amara Michella Altman, NP
- Psychiatric/Mental Health Nurse Practitioner
- Campbell, CA
National Provider Identifier
1760091201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95018342
- Practice address
- 2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541 - Phone
- (800) 913-2615
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95018342 | CA | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 844770 | CA |
Addresses
Primary practice location
2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541
Mailing address
1620 Santa Clara Dr Ste 100
Roseville, CA 95661-3559
Phone (916) 786-3750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018342 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Community Programs | Current | Accepting new patients | |
| WK Medical Group | Psychiatric/Mental Health | Past | Accepting new patients |
| Los Gatos Therapy Center | Past | Accepting new patients | |
| LGTC Group | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1620 Santa Clara Dr
Ste 100
Roseville, CA 95661
Phone (916) 809-7222
Interoperability endpoints
- amara.altman.p1@direct.tpcp.nextgenshare.com
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Roseville, CA
- NPI 1538324199
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1518600972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1760091201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 SANTA CLARA DR STE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613559",
"telephone_number": "916-786-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 S BASCOM AVE STE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950085541",
"telephone_number": "800-913-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "AMARA",
"middle_name": "MICHELLA",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95018342",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "844770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.