AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES — NPI 1336011097 (Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) in PLACENTIA, CA)

CMS-1500 Box 24J / 33a • NPI

1336011097

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2084B0040X (CMS 86)

Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)

Box 32 Service Location & ZIP+4

1058 CAMDEN DR, PLACENTIA, CA, 92870-3704

✓ 9-Digit EDI 837 ZIP+4 (92870-3704)

Practice Phone & Referral Fax

(562) 260-1288

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1336011097 (AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1336011097` (NPI-2 Organization / Facility)
Provider / Legal Name	AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES
Plain-English Specialty	Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: `2084B0040X` (Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	1058 CAMDEN DR, PLACENTIA, CA, 92870-3704
Practice Telephone / Fax	Tel: (562) 260-1288
Administrative Mailing Address	818 MAGNOLIA AVE STE 201, CORONA, CA, 92879-3128
Enumeration & Last Sync	Enumerated: 2025-09-22 \| CMS Record Updated: 2025-09-22
Authorized Official	CRISTINA PAJARILLAGA-ENCELLO (PMHNP)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1058 CAMDEN DR, PLACENTIA, CA, 92870-3704

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Plain-English Taxonomy & CMS Crosswalk (2084B0040X)

What Does Taxonomy Code 2084B0040X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084B0040X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Stroke recovery, chronic or severe migraines, seizures, numbness/tingling in hands or feet (neuropathy), tremors, memory loss, or suspected CSF leak.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES)

Typical CPT / Diagnostic Procedures:

Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
Electromyography (EMG) & Nerve Conduction Studies (NCS)
Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review

Common Therapeutic Classes:

CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
Antiplatelet & Secondary Stroke Prevention Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2084B0040X` — Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AM-J BEHAVIORAL HEALTH PSYCHIATRY SERVICES (NPI #1336011097)