Amanda Conn, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P.07943 Issued in OH

Practice address

454 E Main St Ste 240
Columbus, OH 43215-5380

Phone

(614) 943-4833

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1093226581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E MAIN ST STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E MAIN ST STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155380",
            "telephone_number": "614-943-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443081910",
            "country_code": "US",
            "telephone_number": "330-535-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.07943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaina Marie Conley, LSW
• Story Conley
• Teresa Conley
• Terrance J Conley
• Todd William Conley, D.C.
• Diane Conn
• Kelly A Conn, MSW, LSW,
• Anna Marie Connair, MS, BSN, CNM, RN
• Natalie Sarah Connaughton, CNM
• Connect Trip Systems LLC

• Clinical Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.