AMEN CLINIC NORTHWEST
NPI 1124149851
Psychiatry & Neurology - Diagnostic Neuroimaging in Tukwila, WA

NPI Status: Active since April 02, 2007

Contact Information

545 ANDOVER PARK W STE 101
TUKWILA, WA
ZIP 98188
Phone: (425) 455-7500
Fax: (425) 454-7845

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  • Organization
  • Psychiatry & Neurology
  • Diagnostic Neuroimaging

About AMEN CLINIC NORTHWEST

This page provides the complete NPI Profile along with additional information for Amen Clinic Northwest, a provider established in Tukwila, Washington operating as a Psychiatry & Neurology, focusing in diagnostic neuroimaging . The healthcare provider is registered in the NPI registry with number 1124149851 assigned on April 2007. The practitioner's primary taxonomy code is 2084D0003X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Amen Clinic Northwest operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Amen Clinic Northwest. The authorized official of this NPI record is Christina T Mccormick Ms (Data Systems Specialist)

NPI
1124149851
Provider Legal Name
AMEN CLINICS INC, BELLEVUE
Other Organization Name
AMEN CLINIC NORTHWEST
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
545 ANDOVER PARK W STE 101 TUKWILA, WA 98188
Location Phone
(425) 455-7500
Location Fax
(425) 454-7845
Mailing Address
545 ANDOVER PARK W STE 101 TUKWILA, WA 98188
Mailing Phone
(425) 455-7500
Mailing Fax
(425) 454-7845
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-02-2007
Last Update Date
01-19-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Diagnostic Neuroimaging

Taxonomy Code
2084D0003X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINA T MCCORMICK MS

Authorized Official Title
DATA SYSTEMS SPECIALIST
Authorized Official Phone
(703) 880-4000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124149851
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21442418810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 2 + 4 + 1 + 8 + 8 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1124149851 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124149851, enumerated in the NPI registry as an "organization" on April 02, 2007

The provider is located at 545 Andover Park W Ste 101 Tukwila, Wa 98188 and the phone number is (425) 455-7500

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084D0003X with a focus in Diagnostic Neuroimaging

This NPI record was last updated on April 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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