Amanda B Dorman, MS, QMHP

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1037 W State St
Springfield, MO 65806-2812

Phone

(253) 883-7951

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1104516970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 W STATE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062812",
            "telephone_number": "253-883-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W STATE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062812",
            "telephone_number": "253-883-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "MS, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Christine Donovan, FNP C
• Erin Grey Dooley, MA, PLPC
• Scott Dooley, M.D.
• Patrick M. Dopp, MD
• Trevor Doren, PA
• Jeffrey Lynn Dorman, D.D.S.
• Alyssa Paige Dorris
• Robert Brent Doss
• Caroline Grace Dotson, LCSW
• Megan Doty

• Behavior Analyst in Springfield, MO
• Providers in Springfield, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.