KASEY ELAINE AMICK, Diploma — NPI 1437580594 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) in LOMPOC, CA)

CMS-1500 Box 24J / 33a • NPI

1437580594

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TA0400X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)

Box 32 Service Location & ZIP+4

133 N F ST, LOMPOC, CA, 93436-6033

✓ 9-Digit EDI 837 ZIP+4 (93436-6033)

Practice Phone & Referral Fax

(805) 735-7525

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1437580594 (KASEY ELAINE AMICK, Diploma) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1437580594` (NPI-1 Individual Practitioner)
Provider / Legal Name	KASEY ELAINE AMICK, Diploma
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) NUCC Code: `103TA0400X` (Psychologist, Addiction (Substance Use Disorder))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	133 N F ST, LOMPOC, CA, 93436-6033
Practice Telephone / Fax	Tel: (805) 735-7525
Administrative Mailing Address	133 N F ST, LOMPOC, CA, 93436-6033
Enumeration & Last Sync	Enumerated: 2013-11-27 \| CMS Record Updated: 2013-11-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

133 N F ST, LOMPOC, CA, 93436-6033

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Plain-English Taxonomy & CMS Crosswalk (103TA0400X)

What Does Taxonomy Code 103TA0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TA0400X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Addiction (Substance Use Disorder) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KASEY ELAINE AMICK, Diploma)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TA0400X` — Psychologist, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KASEY ELAINE AMICK, Diploma (NPI #1437580594)