Individual provider Active NPI

Amanda Fuhrman, PSY.D.

  • Psychologist
  • Media, PA
National Provider Identifier
1134308331
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016287 Issued in PA
Practice address
331 W State St
Media, PA 19063-2615
Phone
(610) 574-1212
Fax
(610) 566-4141
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016287 PA Primary

Addresses

Primary practice location

331 W State St
Media, PA 19063-2615

Mailing address

331 W State St
Media, PA 19063-2615
Phone (610) 574-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000093 PA Practitioner - Clinical Psychologist 8426220344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27 E Front St
Media, PA 19063-2911
Phone (610) 574-1262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asf Psychological and Therpeutic Services, LLC CurrentSince Aug 13, 2011 Accepting new patients

Locations

331 W State St
Media, PA 19063
Phone (267) 304-3414

105 W Third St
Media, PA 19063
Phone (302) 223-4054

27 E Front St
Media, PA 19063
Phone (215) 460-1914

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1134308331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632615",
            "telephone_number": "610-574-1212",
            "fax_number": "610-566-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632615",
            "telephone_number": "610-574-1212",
            "fax_number": "610-566-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMAN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.