Individual provider Active NPI

Amie R Newins, PHD

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1164994885
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9640 Issued in FL
Practice address
4111 Pictor Lane Psychology Building Suite 320
Orlando, FL 32816-0001
Phone
(407) 823-1719
NPI assigned
Dec 19, 2018
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY9640 FL Primary

Addresses

Primary practice location

4111 Pictor Lane Psychology Building Suite 320
Orlando, FL 32816-0001

Mailing address

4111 Pictor Lane Psychology Building Suite 320
Orlando, FL 32816-0001
Phone (407) 823-1719

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY9640FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1164994885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 PICTOR LANE PSYCHOLOGY BUILDING SUITE 320",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328160001",
            "telephone_number": "407-823-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 PICTOR LANE PSYCHOLOGY BUILDING SUITE 320",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328160001",
            "telephone_number": "407-823-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWINS",
        "first_name": "AMIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PSY9640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.