Active NPI
Amanda Dolan, PSY.D.
- Psychologist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P.07677
- Practice address
- 3200 Burnet Ave
Cincinnati, OH 45229-3019 - Phone
- (513) 558-7700
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.07677 | OH | |
| Psychologist | 103T00000X | P.07677 | OH | Primary |
Addresses
Primary practice location
3200 Burnet Ave
Cincinnati, OH 45229-3019
Mailing address
PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200
Other practice location 1
1101 Summit Rd
Cincinnati, OH 45237-2621
Phone (513) 948-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 W Galbraith Rd
Cincinnati, OH 45216-1015
Phone (513) 418-2639
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Medical Center, LLC | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Psychologist | Current | Accepting new patients |
Locations
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
1101 Summit Rd
Cincinnati, OH 45237
Phone (513) 948-3600
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700
151 W Galbraith Rd
Cincinnati, OH 45216
Phone (513) 418-2500
2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
Interoperability endpoints
- atrice463601@direct.uchealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Psychologist
-
- Psychiatric Hospital
- Cincinnati, OH
- NPI 1023082716
-
- Nursing Facility/Intermediate Care Facility
- Sandusky, OH
- NPI 1790732576
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1255352068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1194223842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-6200",
"fax_number": "513-245-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 BURNET AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293019",
"telephone_number": "513-558-7700"
}
],
"practiceLocations": [
{
"address_1": "1101 Summit Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452372621",
"country_code": "US",
"telephone_number": "513-948-3600",
"fax_number": "513-948-8631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLAN",
"first_name": "AMANDA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.07677",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "P.07677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.