NPI 1215475744 · live from the CMS NPI Registry
Amoma, PLLC
Psychiatry & Neurology, Psychiatry in Spokane, WA. National Provider Identifier 1215475744, active.
NPI record
| NPI | 1215475744 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 1314 S Grand Blvd Ste 2, Spokane, WA 99202 |
| Practice phone | 813-955-2827 |
| Mailing address | 3690 W Gandy Blvd, Tampa, FL 33611 |
| Enumerated | February 3, 2017 |
| Last updated | May 24, 2023 |
| Authorized official | Archiel Buagas-Kintanar, Provider/Owner |
| Other names | Amoma, LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care | 251J00000X | — (FL) |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — (FL) |
| Clinic/Center, Adult Mental Health | 261QM0850X | AP60643395 (WA) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | AP60643395 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.