Daniel Gregory Amen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

219782 Issued in MA

Practice address

959 South Coast Drive
Suite 100
Costa Mesa, CA 92626

Phone

(949) 266-3700

Fax

(949) 266-3780

NPI assigned

Jul 7, 2006

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 30, 2013 through Aug 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Amen Clinics, Inc

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Costa Mesa, CA
  • NPI 1568865301
  NPD Authorized official
• Amen Clinics Inc, Bellevue

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Tukwila, WA
  • NPI 1124149851
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1831121375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 SOUTH COAST DRIVE",
            "address_2": "SUITE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "949-266-3700",
            "fax_number": "949-236-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 SOUTH COAST DRIVE",
            "address_2": "SUITE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "949-266-3700",
            "fax_number": "949-266-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEN",
        "first_name": "DANIEL",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "219782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Amaro, PT, DPT
• David Alexander Amaya
• Michelle Elizabeth Amber, M.A., LMFT
• Tyler Ambrose
• Amen Clinics, Inc
• American Reproductive Centers
• American Surgical Center-Oc
• Natalie Amerson
• Ames a Medical Corp (Acclain Occupational Medical Group Inc Nick Mashour)
• Bryan Amezquita

• Psychiatry Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.