Individual provider Active NPI

Amanda Schell, PSYD

  • Psychologist
  • Brockton, MA
National Provider Identifier
1013564582
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY10000488 Issued in MA
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

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 5395827711, 14 clinicians

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

LicenseStateTypeSpecialty
PSY10000488MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Behavioral Health, LLC Psychologist CurrentSince Sep 1, 2025 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

Verify at the official NPI Registry.