Individual provider Active NPI

Amy Sue Unger, PSY.S.

  • School Psychologist
  • Warsaw, IN
National Provider Identifier
1104645316
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
10317067 Issued in IN
Practice address
1 Administration Dr
Warsaw, IN 46580-4846
Phone
(574) 371-5098
NPI assigned
Oct 4, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 10317067 IN Primary

Addresses

Primary practice location

1 Administration Dr
Warsaw, IN 46580-4846

Mailing address

1 Administration Dr
Warsaw, IN 46580-4846
Phone (574) 371-5098

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

State licenses

LicenseStateTypeSpecialty
10317067INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Warsaw Community Schools PastSince Oct 6, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1104645316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ADMINISTRATION DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804846",
            "telephone_number": "574-371-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ADMINISTRATION DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804846",
            "telephone_number": "574-371-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "PSY.S.",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10317067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.