Active NPI
Amanda Schell, PSYD
- Psychologist
- Brockton, MA
National Provider Identifier
1013564582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY10000488
- Practice address
- 22 Christy Dr
Brockton, MA 02301-1839 - Phone
- (508) 580-4611
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY10000488 | MA | Primary |
Addresses
Primary practice location
22 Christy Dr
Brockton, MA 02301-1839
Mailing address
1191 Broadway
Hanover, MA 02339-2503
Phone (781) 733-5797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250903000069 | MA | Practitioner - Clinical Psychologist | 6406357136 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Westside Behavioral Health, LLC
Practice addresses (Care Compare)
22 Christy Dr
Brockton, MA 02301-1839
Phone (508) 580-4611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10000488 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Behavioral Health, LLC | Psychologist | Current | Accepting new patients |
Locations
22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611
22 Christy Dr
Ste 2
Brockton, MA 02301
Phone (508) 580-4611
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1013564582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 BROADWAY",
"city": "HANOVER",
"state": "MA",
"postal_code": "023392503",
"telephone_number": "781-733-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CHRISTY DR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011839",
"telephone_number": "508-580-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELL",
"first_name": "AMANDA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "PSY10000488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.