Individual provider Active NPI

Amanda Vera Morrice-McBride, PSYD

  • Clinical Psychologist
  • Corpus Christi, TX
National Provider Identifier
1174555817
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30571 Issued in TX
Practice address
101 N Shoreline Blvd
Suite 301
Corpus Christi, TX 78401-2824
Phone
(361) 883-1219
Fax
(361) 887-1080
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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 30571 TX Primary

Addresses

Primary practice location

101 N Shoreline Blvd
Suite 301
Corpus Christi, TX 78401-2824

Mailing address

PO Box 2503
Corpus Christi, TX 78403-2503
Phone (361) 883-1219

Other identifiers 2

IdentifierTypeStateIssuer
87518AOtherTXBC/BS PROVIDER NUMBER
1027534-06MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040717000256 TX Practitioner - Clinical Psychologist 2264411727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 N Shoreline Blvd
Suite 301
Corpus Christi, TX 78401-2825
Phone (361) 883-1219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30571TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Morrice-McBride, Psy.D., P.C. Clinical CurrentSince Apr 13, 2006 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients
Daniela Badea-Mic MD, PA Past Accepting new patients
Deer Oaks Geriatric Services P C Clinical PastSince Jan 23, 2023 Accepting new patients
Bay Area Psychiatry Services PC Past Accepting new patients

Locations

101 N Shoreline Blvd
Ste 301
Corpus Christi, TX 78401
Phone (361) 883-1219

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1174555817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2503",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784032503",
            "telephone_number": "361-883-1219",
            "fax_number": "361-887-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N SHORELINE BLVD",
            "address_2": "SUITE 301",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012824",
            "telephone_number": "361-883-1219",
            "fax_number": "361-887-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRICE-MCBRIDE",
        "first_name": "AMANDA",
        "middle_name": "VERA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "87518A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027534-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.