Daniel Damen
Individual provider Active NPI Psychiatry Physician · Galt, CA
NPI 1891358263 · NPPES record last updated May 24, 2024
Key facts
- NPI
- 1891358263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 20A22656 (CA)
- Practice address
- 150 N Lincoln Way
Galt, CA 95632-1721 - Phone
- (209) 745-4633
- NPI assigned
- Apr 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A22656 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damen Psychiatry PC | Psychiatry | Current |
Accepting new patients |
Locations
150 N Lincoln Way
Galt, CA 95632
Phone (209) 598-4459
Interoperability endpoints
- daniel.damen@1396.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A22656 | CA | Yes |
Addresses
Primary practice location
150 N Lincoln Way
Galt, CA 95632-1721
Mailing address
7031 SW 62ND Ave
South Miami, FL 33143-4701
Phone (305) 284-7761
Other providers in Galt, CA
- Crosstown Psychology PC
- Dalla Dental Group Galt
- Alyssa Nicole Damasdi
- Damen Psychiatry PC
- Ayman Damen
- Danny Dang
- Elaine Mary Davidson
- Jessica Nicole De Julio
- Lori Ann Yerian Dentinger
- DJM Care LLC
All providers in Galt, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.