AMANDA DANIELLE MAIN RADT
NPI 1861073884
Counselor - Addiction (Substance Use Disorder) in San Jacinto, CA

Q: What is Amanda Main's NPI number?

The NPI number for Amanda Main is 1861073884. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Amanda Main's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Main was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2021

2220 GIRARD ST, SAN JACINTO, CA 92583(951) 925-8450 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, May 16, 2023, Jun 25, 2021 and 1 more (4 updates tracked since 2021).

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About Amanda Danielle Main Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA DANIELLE MAIN RADT (NPI 1861073884) is an individual addiction (substance use disorder) provider in San Jacinto, California, licensed in California (R1425370421) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1861073884

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameAMANDA DANIELLE MAINCredential: RADT

Location Address2220 GIRARD STSan Jacinto, CA 92583-5301

Mailing Address2220 Girard StSan Jacinto, CA 92583-5301 · (951) 925-8450

Phone(951) 925-8450

Sole ProprietorYes

Enumeration DateApril 20, 2021

Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1861073884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · R1425370421

Also ListedPeer SpecialistTaxonomy 175T00000X

2220 GIRARD ST, San Jacinto, CA 92583

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA DARDEN C.A.S.

Counselor (Addiction (Substance Use Disorder))