Dr Alfredo M Amezaga Jr, PHD is a
Psychologist - Clinical based in Reno, Nevada. Dr Alfredo M Amezaga Jr is licensed to practice in Nevada (license number PY0327) and his current practice location is
18124 Wedge Pkwy, Ste. 538, Reno, Nevada. He can be reached at his office (for appointments etc.) via phone at
(800) 401-5593.
NPI number for Dr Alfredo M Amezaga Jr is 1013182559 and his current mailing address is 18124 Wedge Pkwy, Ste. 538, Reno, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013182559.
Healthcare Provider's Profile
Full Name | Dr Alfredo M Amezaga Jr |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 18124 Wedge Pkwy, Reno, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013182559
- Provider Enumeration Date: 04/25/2008
- Last Update Date: 07/17/2012
Medical Identifiers
Medical identifiers for Dr Alfredo M Amezaga Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013182559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | PSY14696 (California) | Secondary |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | PY0327 (Nevada) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | PY0327 (Nevada) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | PSY14696 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PY0327 (Nevada) | Primary |
103TC0700X | Psychologist - Clinical | PSY14696 (California) | Secondary |
103TF0200X | Psychologist - Forensic | PY0327 (Nevada) | Secondary |
103TF0200X | Psychologist - Forensic | PSY14696 (California) | Secondary |
103TR0400X | Psychologist - Rehabilitation | PY0327 (Nevada) | Secondary |
103TR0400X | Psychologist - Rehabilitation | PSY14696 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alfredo M Amezaga Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Alfredo M Amezaga Jr, PHD 18124 Wedge Pkwy, Ste. 538, Reno, NV 89511-8134 Ph: (800) 401-5593 | Dr Alfredo M Amezaga Jr, PHD 18124 Wedge Pkwy, Ste. 538, Reno, NV 89511-8134 Ph: (800) 401-5593 |
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