Provider Demographics
NPI:1407448509
Name:ALAMO ALLOPATHIC MENTAL HEALTH
Entity Type:Organization
Organization Name:ALAMO ALLOPATHIC MENTAL HEALTH
Other - Org Name:TRICARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF NURSING PR
Authorized Official - Phone:314-795-7884
Mailing Address - Street 1:6446 BABCOCK RD UNIT 36
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3985
Mailing Address - Country:US
Mailing Address - Phone:314-795-7884
Mailing Address - Fax:
Practice Address - Street 1:6446 BABCOCK RD UNIT 36
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3985
Practice Address - Country:US
Practice Address - Phone:314-795-7884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1396336145OtherNPI