AMEN CLINICS INC, BELLEVUE – NPI #1124149851
Psychiatry & Neurology

A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

AMEN CLINICS INC, BELLEVUE is a psychiatry & neurologist located in TUKWILA, WA. NPPES has assigned the NPI number 1124149851 to AMEN CLINICS INC, BELLEVUE on April 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. AMEN CLINICS INC, BELLEVUE is also known by the name AMEN CLINIC NORTHWEST. The primary taxonomy selected by this provider is 2084D0003X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Diagnostic Neuroimaging

The NPI profile was previously updated about 4 years ago on Jan 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMEN CLINICS INC, BELLEVUE below.

NPI Profile for
AMEN CLINICS INC, BELLEVUE

NPI Number
1124149851
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMEN CLINICS INC, BELLEVUE
Other Name: AMEN CLINIC NORTHWEST
Primary location
545 ANDOVER PARK W STE 101
TUKWILA, WA 98188-3347
Phone: (425) 455-7500 Fax: (425) 454-7845
Mailing address
Same as primary location
Organization Subpart
Yes - AMEN CLINICS INC, BELLEVUE is subpart of another organization.
Authorized Official
CHRISTINA MCCORMICK
DATA SYSTEMS SPECIALIST
Phone: (703) 880-4000
Updated
Certification Date
Jan 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084D0003X
- Psychiatry & Neurology / Diagnostic Neuroimaging (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.