Active NPI
Amy Fahey, PH.D.
- Clinical Psychologist
- Fort Thomas, KY
National Provider Identifier
1053478388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1385
- Practice address
- 1000 S Fort Thomas Ave
Fort Thomas, KY 41075-2305 - Phone
- (513) 861-3100
- NPI assigned
- Jan 3, 2007
- Last updated
- Aug 9, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1385 | KY | Primary |
Addresses
Primary practice location
1000 S Fort Thomas Ave
Fort Thomas, KY 41075-2305
Mailing address
1541 Sharjoy CT
Cincinnati, OH 45230-5140
Phone (513) 405-7360
Other practice location 1
211 Grandview Dr
Suite 200
Ft Mitchell, KY 41017-2759
Phone (513) 405-7340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1385 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1053478388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 SHARJOY CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452305140",
"telephone_number": "513-405-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S FORT THOMAS AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410752305",
"telephone_number": "513-861-3100"
}
],
"practiceLocations": [
{
"address_1": "211 Grandview Dr",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Ft Mitchell",
"state": "KY",
"postal_code": "410172759",
"country_code": "US",
"telephone_number": "513-405-7340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAHEY",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "1385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.