Individual provider Active NPI

Amy M Matney, PSY.D.

  • Clinical Psychologist
  • Staunton, VA
National Provider Identifier
1023309598
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810006268 Issued in VA
Practice address
25 Myers Corner Dr
Staunton, VA 24401-6342
Phone
(540) 688-2646
Fax
(540) 688-2656
NPI assigned
May 2, 2011
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810006268 VA Primary

Addresses

Primary practice location

25 Myers Corner Dr
Staunton, VA 24401-6342

Mailing address

25 Myers Corner Dr
Staunton, VA 24401-6342
Phone (540) 688-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230824004218 VA Practitioner - Clinical Psychologist 1850754763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Health Systems,PLCGroup PAC ID 2466359328, 6 clinicians

Practice addresses (Care Compare)

25 Myers Corner Dr
Staunton, VA 24401-6342
Phone (540) 688-2646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810006268VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Systems,PLC Clinical CurrentSince Aug 1, 2023 Accepting new patients

Locations

25 Myers Corner Dr
Staunton, VA 24401
Phone (540) 688-2646

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1023309598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MYERS CORNER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016342",
            "telephone_number": "540-688-2646",
            "fax_number": "540-688-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MYERS CORNER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016342",
            "telephone_number": "540-688-2646",
            "fax_number": "540-688-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATNEY",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.