NPIMap

Organization Active NPI

Amanecer Mind Medicine PLLC

Doing business as Amanecer Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pullman, WA
National Provider Identifier
1962112508
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMANECER MIND MEDICINE PLLC
Doing business as
Amanecer Psychiatry
Practice address
167 NE Kamiaken St
Pullman, WA 99163-2611
Phone
(509) 330-6865
NPI assigned
Dec 5, 2022
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Erik Bayona, MDNPI 1841721198
Title
Psychiatrist/Owner
Phone
(509) 330-6865

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

167 NE Kamiaken St
Pullman, WA 99163-2611

Mailing address

167 NE Kamiaken St
Pullman, WA 99163-2611
Phone (509) 715-1400

Other names 1

  • Amanecer Psychiatry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1962112508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 NE KAMIAKEN ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632611",
            "telephone_number": "509-715-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 NE KAMIAKEN ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632611",
            "telephone_number": "509-330-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER MIND MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "BAYONA",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "509-330-6865",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanecer Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amanecer Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.