Amanda Massi, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS020194 Issued in PA

Practice address

220 N Park Rd BLDG 5
Wyomissing, PA 19610-2945

Phone

(610) 621-5163

NPI assigned

May 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Harris Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Hearthfire Psychology, PLLC

  • Psychologist
  • Wyomissing, PA
  • NPI 1194371765

  Counselor

  Medicare reassignment NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1124518741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-4 HEATHER HTS",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063246",
            "telephone_number": "484-941-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PARK RD BLDG 5",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102945",
            "telephone_number": "610-621-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSI",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HARRIS",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey L Martinez, P.A.
• Girard M Maryniak, MD
• Anirudh Masand-Rai, M.D.
• Taylor Jo Massar, MA, BCBA, LBS
• Alexander Taylor Massengale, M.D.
• Emma Mathias
• Barbara Matiatos, RPH
• Matt Shollenberger, PHD PC
• Alexa Mattise-Nauman, LSW
• Allyson Mauroschadt

• Psychologist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.