Individual provider Active NPI

Amy Jo Amarello, PSY.D.

  • Psychologist
  • Bethlehem, PA
National Provider Identifier
1164551537
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019731 Issued in PA
Practice address
2855 Schoenersville Rd
Bethlehem, PA 18017-7306
Phone
(610) 776-3214
Fax
(610) 776-3506
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-297 ID
Psychologist 103T00000X PS019731 PA Primary

Addresses

Primary practice location

2855 Schoenersville Rd
Bethlehem, PA 18017-7306

Mailing address

850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3515

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
I20230118003124 PA Practitioner - Clinical Psychologist 8921145582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Rehabilitation Hospital 21 clinicians

Practice addresses (Care Compare)

2855 Schoenersville Rd
Bethlehem, PA 18017-7306
Phone (610) 807-5654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019731PAMDPsychologist
PSY-297IDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Rehabilitation Hospital Clinical CurrentSince Nov 17, 2022 Accepting new patients
Good Shepherd Rehabilitation Hospital Current Accepting new patients
Good Shepherd Rehabilitation Hospital CurrentSince Nov 17, 2022 Accepting new patients
Amarello and Webb Psychological Associates, P.a. PastSince Jan 1, 1990 Accepting new patients
Amarello and Webb PastSince Jan 1, 1990 Accepting new patients

Locations

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

2855 Schoenersville Rd
Bethlehem, PA 18017
Phone (610) 807-4200

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

Interoperability endpoints

  • Direct secure messaging: amy.amarello.1@11391.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 5

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": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1164551537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033308",
            "telephone_number": "610-776-3515",
            "fax_number": "610-776-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177306",
            "telephone_number": "610-776-3214",
            "fax_number": "610-776-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARELLO",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-297",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.