AMANDA ADHAMI (NPI# 1669931341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669931341 |
| Entity Type | Individual |
| Full Name | AMANDA ADHAMI |
| Credential | MSW, LSW |
| Practice Address |
645 N Walnut St Bloomington IN 47404-3846 |
| Practice Telephone | 8123363570 |
| Practice Fax Number | 8123369010 |
| Mailing Telephone | 8123363570 |
| Mailing Fax Number | 8123369010 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
33008127A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 33008218A | 05 | |
| IN | COMMERCIAL | 33008218A | 01 |
| Street Address |
645 N WALNUT ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760503718 | Mark Delong | Counselor | 645 N Walnut St, Bloomington, IN 47404-3846 | 2007-04-03 |
| 1710432851 | James Flannery Walker | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2016-08-18 |
| 1699127886 | Desirae Deniece Draluck | Counselor | 645 N Walnut St, Bloomington, IN 47404-3846 | 2016-07-12 |
| 1154776680 | Andrea Cheek | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2016-05-03 |
| 1235505876 | Kaitlin King | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2015-08-18 |
| 1447626080 | Shelby Robertson | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2015-08-18 |
| 1578939641 | Maria Roncalli | Counselor | 645 N Walnut St, Bloomington, IN 47404-3846 | 2015-08-12 |
| 1053744474 | Amethyst House | Social Worker | 645 N Walnut St, Bloomington, IN 47404-3846 | 2013-08-21 |
| 1891052908 | Walt Keller | Psychologist | 645 N Walnut St, Bloomington, IN 47404-3846 | 2012-04-13 |
| 1588865505 | Thomas W Cox | Counselor | 645 N Walnut St, Bloomington, IN 47404-3846 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386073724 | Danielle Freund | Psychologist | 702 W Chestnut St, Bloomington, IL 61701-2814 | 2013-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121172 | Tyrone B Barnes | Psychologist | 3805 N Wittfield St, Indianapolis, IN 46235-2123 | 2020-10-12 |
| 1447874300 | Catherine A Welsh | Psychologist | 12732 Fuller Ct, Fishers, IN 46038-1084 | 2020-06-05 |
| 1184260010 | James R Hurst Phd LLC | Psychologist | 6910 N Main St Unit 12, Granger, IN 46530-9681 | 2019-11-26 |
| 1376827915 | Boyd Randal Horton | Psychologist | 1800 N Meridian St Ste 202, Indianapolis, IN 46202-1443 | 2011-09-30 |
| 1316244627 | Michael Anthony Johnson | Psychologist | 6208 N College Ave, Indianapolis, IN 46220-1927 | 2011-02-22 |
| 1982884136 | Ann Louise Cangemi | Psychologist | 10123 Red Oak Ct, Fort Wayne, IN 46804-5223 | 2007-11-05 |
| 1194880088 | Thomas James Johnson | Psychologist | Indiana State University Department of Psychology, 450 North 7th Street, Terre Haute, IN 47809-0001 | 2006-12-22 |
| 1144202292 | Antonio Carrelli | Psychologist | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2005-11-15 |
| 1346804390 | Kimberly Dick | Psychologist | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2019-04-25 |
| 1760922249 | The Health and Hospital Corporation of Marion County | Psychologist | 832 N Meridian St, Indianapolis, IN 46204-1108 | 2017-03-02 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on AMANDA ADHAMI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.