Provider Demographics
NPI:1558166066
Name:PHINEAS, AAMINA NAHANDA (RADT)
Entity type:Individual
Prefix:
First Name:AAMINA
Middle Name:NAHANDA
Last Name:PHINEAS
Suffix:
Gender:
Credentials:RADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 PLEASENT VALLEY RD
Mailing Address - Street 2:4
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619-1447
Mailing Address - Country:US
Mailing Address - Phone:530-344-7633
Mailing Address - Fax:
Practice Address - Street 1:484 PLEASANT VALLEY RD
Practice Address - Street 2:4
Practice Address - City:DIAMOND SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95619
Practice Address - Country:US
Practice Address - Phone:530-344-7633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1551210224101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)