Amanda L Crabtree, PSY.D.
Individual provider Active NPI Clinical Psychologist · Lexington, KY
NPI 1023368255 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1023368255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 252349 (KY)
- Practice address
- 1351 Newtown Pike
Lexington, KY 40511 - Phone
- (859) 253-1686
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psychological and Behavioral Consultants LLC
Practice addresses (Care Compare)
100 Executive Park
Suite 103
Louisville, KY 40207-4201
Phone (502) 552-5068
1030 Monarch St
Suite 100
Lexington, KY 40513-1820
Phone (844) 468-5050
120 Prosperous PL
Suite 201
Lexington, KY 40509-1866
Phone (216) 468-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210512002893 | KY | Practitioner - Clinical Psychologist | 9234548777 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vista of the Bluegrass | Current |
Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Mental Health | Current |
Accepting new patients |
| New Vista of the Bluegrass Inc | Current | Accepting new patients | |
| New Vista of the Bluegrass Inc | Current |
Accepting new patients |
Locations
1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686
120 Prosperous Pl
Ste 150
Lexington, KY 40509
Phone (859) 214-7440
201 Mechanic St
Lexington, KY 40507
Phone (859) 233-0444
1351 Newtown Pike
Bldg 5
Lexington, KY 40511
Phone (859) 233-0444
1351 Newtown Pike
Lexington, KY 40511
Phone (859) 233-0444
120 Prosperous Pl
Ste 201
Lexington, KY 40509
Phone (859) 368-0609
161 Prosperous Pl
Ste 100
Lexington, KY 40509
Phone (859) 214-7440
100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 252349 | KY | Yes |
Addresses
Primary practice location
1351 Newtown Pike
Lexington, KY 40511
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1275
Phone (859) 253-1686
Other practice location 1
115 Rockwood Ln
Hazard, KY 41701
Phone (606) 436-5761 ext. 7254
Other practice location 2
115 Rockwood Ln
Hazard, KY 41701
Phone (606) 436-5761 ext. 7254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Other names
- Amanda L Sheppard
Other providers in Lexington, KY
- Samuel Christopher Coy
- Bruce H Coyer
- Britt Alexander Coyle
- Kelsey A Coyle
- Sarah Coyle
- Matthew John Crabtree
- Sarah Williams Crabtree
- Courtney Crace
- Christina E Craddock
- Geraldine Baker Craddock
All providers in Lexington, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.