ANGEL TIEN AMODO — NPI 1578246021 (Licensed & Credentialed Licensed Psychiatric Technician in CARMICHAEL, CA)

CMS-1500 Box 24J / 33a • NPI

1578246021

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

167G00000X

Licensed & Credentialed Licensed Psychiatric Technician

Box 32 Service Location & ZIP+4

6501 COYLE AVE, CARMICHAEL, CA, 95608-0306

✓ 9-Digit EDI 837 ZIP+4 (95608-0306)

Practice Phone & Referral Fax

(916) 537-5365

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1578246021 (ANGEL TIEN AMODO) 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	`1578246021` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANGEL TIEN AMODO
Plain-English Specialty	Licensed & Credentialed Licensed Psychiatric Technician NUCC Code: `167G00000X` (Licensed Psychiatric Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6501 COYLE AVE, CARMICHAEL, CA, 95608-0306
Practice Telephone / Fax	Tel: (916) 537-5365
Administrative Mailing Address	705 ALICANTE DR, LODI, CA, 95240-5608
Enumeration & Last Sync	Enumerated: 2023-08-10 \| CMS Record Updated: 2025-07-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6501 COYLE AVE, CARMICHAEL, CA, 95608-0306

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Plain-English Taxonomy & CMS Crosswalk (167G00000X)

What Does Taxonomy Code 167G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 167G00000X translates to:
"Licensed & Credentialed Licensed Psychiatric Technician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Psychiatric Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANGEL TIEN AMODO)

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
`167G00000X` — Licensed Psychiatric Technician Plain English: Licensed & Credentialed Licensed Psychiatric Technician	State: CA \| License: `36984` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANGEL TIEN AMODO (NPI #1578246021)