Organization Active NPI

Amanda Lynne, PHD, LLC

  • Clinical Psychologist
  • Bloomington, IN
National Provider Identifier
1043945835
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AMANDA LYNNE, PHD, LLC
Practice address
120 W 7TH St Ste 474
Bloomington, IN 47404-3897
Phone
(812) 606-2919
Fax
(812) 901-6614
NPI assigned
Jul 18, 2022
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Amanda Lynne Quinby, PHD, HSPPNPI 1255772174
Title
Owner, Psychologist
Phone
(812) 606-2919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

120 W 7TH St Ste 474
Bloomington, IN 47404-3897

Mailing address

120 W 7TH St Ste 474
Bloomington, IN 47404-3897
Phone (812) 606-2919

National Provider Directory

National Provider Directory

Locations

120 W 7th St
Ste 474
Bloomington, IN 47404

205 N College Ave
Ste 314
Bloomington, IN 47404
Phone (812) 606-2919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1043945835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 7TH ST STE 474",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043897",
            "telephone_number": "812-606-2919",
            "fax_number": "812-901-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 7TH ST STE 474",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043897",
            "telephone_number": "812-606-2919",
            "fax_number": "812-901-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA LYNNE, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "QUINBY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "812-606-2919",
        "authorized_official_credential": "PHD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.