Organization Active NPI

Amanda Wilkman, NP Psychiatric Nursing, Remedium Inc

Doing business as Remedium

  • Psychiatry Physician
  • Manhattan Beach, CA
National Provider Identifier
1881210706
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AMANDA WILKMAN, NP PSYCHIATRIC NURSING, REMEDIUM INC
Doing business as
Remedium
Practice address
1000 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-5973
Phone
(310) 372-9900
NPI assigned
Jun 17, 2020
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Amanda Wilkman, PMHNP-BCNPI 1326462672
Title
President
Phone
(310) 372-9900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1000 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-5973

Mailing address

206 15TH St Apt B
Manhattan Beach, CA 90266-4695

Other identifiers 2

IdentifierTypeStateIssuer
1326462672OtherNPI TYPE 1
1437329869OtherNPI TYPE 1

Other names 1

  • Remedium Doing business as

National Provider Directory

National Provider Directory

Locations

1000 N Sepulveda Blvd
Ste 210
Manhattan Beach, CA 90266
Phone (310) 372-9900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1881210706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 15TH ST APT B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SEPULVEDA BLVD STE 210",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665973",
            "telephone_number": "310-372-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA WILKMAN, NP PSYCHIATRIC NURSING, REMEDIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "WILKMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-372-9900",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1326462672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437329869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedium",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Remedium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.